Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | A-558-71 | NM |
N | 207YS0123X | Facial Plastic Surgeon | A-558-71 | NM |
NPI | 1629066501 |
---|---|
Provider Name | Dr. Richard James Davies |
First Address | Carlsbad, NM 88220-3537 |
Second Address | Carlsbad, NM 88220-3537 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
41699 | (05) | NM |
E15922 | (02) |