Basic Information
| Provider Information | |||||||||
| NPI: | 1942495577 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DAVIS | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | DENTON | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 100 WILSON RD STE 100 | ||||||||
| Address2: | |||||||||
| City: | MONTEREY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 939407885 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8316491000 | ||||||||
| FaxNumber: | 8316494966 | ||||||||
| Practice Location | |||||||||
| Address1: | 1212 S MAIN ST | ||||||||
| Address2: | |||||||||
| City: | SALINAS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 939012260 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8314227777 | ||||||||
| FaxNumber: | 8314220136 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/06/2007 | ||||||||
| LastUpdateDate: | 02/18/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 02/18/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 32887 | CO | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | ME92141 | FL | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | G19699 | CA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.