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BRETT DAVIS P.A.

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1700091436

Individual Registrant:
 BRETT  DAVIS P.A.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
41949 BIG BEAR BLVD  BIG BEAR LAKE, CA 92315 US
Tel: 909-878-3696  Fax: --

Contact information for business:
153 PIONEER LN STE B  BISHOP, CA 93514-2517 US
Tel: 760-873-2849  Fax: 760-873-2836

Registration Information:
NPI: 1700091436
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
CAPA13662

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1

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