Victor M Davis Iii (NPI# 1386740462, PAC ID# 0547153785) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
Nation Provider ID (NPI) | 1386740462 |
PAC ID by PECOS | 0547153785 |
Professional Enrollment ID | I20100108000672 |
Full Name | Victor M Davis Iii |
Address |
101 Arrow St St Ignatius MT 59865 |
Phone Number | 4067454444 |
Gender | M |
Medical School | MEDICAL COLLEGE OF GEORGIA |
Graduation Year | 1980 |
Primary Specialty | FAMILY PRACTICE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
271325 | ST LUKE COMMUNITY HOSPITAL |
Address | Phone | Organization |
---|---|---|
101 Arrow St, St Ignatius, MT 59865 | 4067454444 |
Street Address |
101 ARROW ST |
City | ST IGNATIUS |
State | MT |
Zip | 59865 |
Name | Specialty | Organization | Address |
---|---|---|---|
Brenda A Ferril | Chiropractic | 200 Mountain View Dr, St Ignatius, MT 59865-0674 | |
Kathren Gonzalez | Clinical Social Worker | Sunburst Community Service Foundation, Inc | 109 1st Ave, St Ignatius, MT 59865-7748 |
Emily J Pray | Clinical Social Worker | Sunburst Community Service Foundation, Inc | 109 1st Ave, St Ignatius, MT 59865-7748 |
Margaret Schildt | Clinical Social Worker | Sunburst Community Service Foundation, Inc | 109 1st Ave, St Ignatius, MT 59865-7748 |
Megan N Bailey | Clinical Social Worker | Sunburst Community Service Foundation, Inc | 109 1st Ave, St Ignatius, MT 59865-7748 |
Julie A Fleck | Clinical Social Worker | Sunburst Community Service Foundation, Inc | 109 1st Ave, St Ignatius, MT 59865-7748 |
City | ST IGNATIUS |
Zip Code | 59865 |
Specialty | FAMILY PRACTICE |
City + Specialty | ST IGNATIUS + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Victor M Davis Iii.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.