Individual provider · Type 1 NPI

Charles J. Davis, PA-C

Medical Physician Assistant · Renton, WA

NPI number 1962422956 Active

Practice location

14410 SE Petrovitsky Rd Ste 104
Renton, WA 98058-8900

Fax (425) 690-9405

Mailing address

3600 Lind Ave SW, Suite 100 Attn Credentialing
Renton, WA 98057-4970

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA10004461 (WA)

Medical Physician Assistant: Definition to come...

8 other providers at this address

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About NPI 1962422956

Charles J. Davis, PA-C's National Provider Identifier is 1962422956, issued on Jul 20, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Renton, WA. The record was last updated on Mar 31, 2020.