Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 47433 | AZ |
N | 208600000X | Surgeon | 47433 | AZ |
N | 208200000X | Surgeon | 49335 | TN |
N | 208600000X | Surgeon | 49335 | TN |
Y | 2086S0102X | Surgical Critical Care | 47433 | AZ |
N | 2086S0102X | Surgical Critical Care | 49335 | TN |
N | 2086S0127X | Trauma Surgeon | 47433 | AZ |
N | 2086S0127X | Trauma Surgeon | 49335 | TN |
NPI | 1477720829 |
---|---|
Provider Name | Dr. Karole Marie Davis |
First Address | Phoenix, AZ 85016-8034 |
Second Address | Phoenix, AZ 85008-4973 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2008 |
Last Update Date | 20/07/2020 |