Individual provider · Type 1 NPI
Gregory David Davis, P.A.-C.
Medical Physician Assistant · Lake Isabella, CA
NPI number
1033288998
Active
Practice location
4300 Birch Ave
Lake Isabella, CA 93240-1628
Fax (760) 379-1793
Mailing address
PO Box 1628
Lake Isabella, CA 93240-1628
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA 13448 (CA) |
Medical Physician Assistant: Definition to come...
About NPI 1033288998
Gregory David Davis, P.A.-C.'s National Provider Identifier is 1033288998, issued on Nov 7, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lake Isabella, CA. The record was last updated on Jul 8, 2007.