Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT00000428 | WA |
NPI | 1083754030 |
---|---|
Provider Name | Dr. Steven William Davis |
First Address | Gig Harbor, WA 98335-8218 |
Second Address | Gig Harbor, WA 98335-8218 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2007 |
Last Update Date | 08/07/2007 |