Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RI0200X | Infectious Disease | D0017418 | MD |
Y | 207RI0200X | Infectious Disease | MD11075 | DC |
NPI | 1073502951 |
---|---|
Provider Name | Dr. William Arthur Davis |
First Address | Bethesda, MD 20817-5826 |
Second Address | Bethesda, MD 20817-5826 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2005 |
Last Update Date | 27/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D09396 | (02) |