Davis, Bruce C.

Davis, Bruce C. is an individual health care provider with primary practice located at 6242 E. Arbor Ave. Suite 101, Mesa AZ 85206-1309. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Davis, Bruce C. can be contacted via phone (480) 985-9184.

Contact Information

Primary practice address
6242 E. Arbor Ave. Suite 101 Mesa AZ 85206-1309
Phone: (480) 985-9184
Fax: (480) 985-3107
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 17905 Arizona

Profile Details

NPI number 1437127073
LBN Legal business name Davis, Bruce C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Feb 4th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437127073 NPPES
Arizona MEDICAID 076051-001
Arizona MEDICAID 076051001

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