Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 5857 | NV |
NPI | 1013934900 |
---|---|
Provider Name | Dr. Thomas S. Davee |
First Address | Reno, NV 89502-2055 |
Second Address | Reno, NV 89502-1576 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2006 |
Last Update Date | 24/07/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1013934900 | (05) | NV |
CC2331 | BLUE CROSS BLUE SHIELD (01) | NV |
E52333 | (02) | NV |
XPY183367 | (05) | CA |