PATRICK DAVIS PA-C LTD NPI 1366702797

NPI Information

NPI: 1366702797
Provider Name: PATRICK DAVIS PA-C LTD
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
724 KENDALL LN
BOULDER CITY, NV
ZIP 89005
Phone: (702) 604-7422
Get Directions

PATRICK DAVIS PA-C LTD is a surgical physician assistant in Boulder City, NV. PATRICK DAVIS PA-C LTD NPI is 1366702797. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

724 KENDALL LN
BOULDER CITY, NV
ZIP 89005-112
Phone: (702) 604-7422
Fax: (908) 345-8788

The provider's authorized official is Patrick Davis .
The authorized official title is Owner and has the following contact phone number (702) 604-7422.

The enumeration date for this NPI number is 5/18/2012 and was last updated on 10/22/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA823	NEVADA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NV20091190921	OTHER	NEVADA	NV SOS BUSINESS LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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