Individual provider · Type 1 NPI

Brian Mark Davis, P.A.

Medical Physician Assistant · Redding, CA

NPI number 1508946351 Active

Practice location

2510 Airpark Dr Ste 301
Redding, CA 96001-2462

Fax (530) 242-3546

Mailing address

3400 Data Dr, Attn Credentialing/payer Enrollment
Rancho Cordova, CA 95670-7956

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA 18631 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1508946351

Brian Mark Davis, P.A.'s National Provider Identifier is 1508946351, issued on Oct 16, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Redding, CA. The record was last updated on Oct 30, 2019.