Chad D Davis in Cedar Rapids - Physician Assistant

Chad D Davis - NPI 1073692463

Chad D Davis is a Physician Assistant in Cedar Rapids, Iowa. Chad D Davis practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Chad D Davis is 1073692463. The last update date is 2007-07-08.

Chad D Davis's current location address is 500 8th Ave Se, Cedar Rapids, Iowa. You can contact this provider via phone number 3193648704 and fax number 3193657747. The mailing address for Chad D Davis is 500 8th Ave Se, Cedar Rapids, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Chad D Davis
Address 500 8th Ave Se, Cedar Rapids, Iowa
Phone Number 3193648704
Fax Number 3193657747
Sole Proprietor N
Credentials P.A. - C

NPI Number Detail

NPI Number 1073692463
Provider Enumeration Date 2006-11-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 500 8th Ave Se
City Cedar Rapids
State Iowa (IA)
Post Code 524012134
Phone Number 3193648704
Fax Number 3193657747

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 1524
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
35956 IA BLUE CROSS BLUE SHIELD

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FAQs about Chad D Davis

What is the Chad D Davis's unique identification number?

The Chad D Davis has been assigned the NPI (National Provider Identifier) Number 1073692463 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Chad D Davis is located?

The Chad D Davis is situated at the following address: 500 8Th Ave Se, Cedar Rapids, IA, 524012134.

What is Chad D Davis's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Chad D Davis is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.

On what date did Chad D Davis receive its 1073692463 assignment from the Centers for Medicare & Medicaid Services?

The Chad D Davis was assigned its 1073692463 on 2006-11-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Chad D Davis most recently updated?

The details pertaining to the Chad D Davis, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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