Staci E Davis


Address: 4500 N 32nd St, Suite 118, Phoenix, AZ 85018-3350

Staci E Davis (NPI# 1467696419, PAC ID# 1254637747) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1467696419
PAC ID by PECOS 1254637747
Professional Enrollment ID I20171220003298
Full Name Staci E Davis
Address 4500 N 32nd St
Suite 118
Phoenix
AZ 85018-3350
Gender F
Graduation Year 2005
Primary Specialty PSYCHOLOGIST, CLINICAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
4500 N 32nd St, Suite 118, Phoenix, AZ 85018-3350

Organization Information

Office Location

Street Address 4500 N 32ND ST
SUITE 118
City PHOENIX
State AZ
Zip 85018-3350

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Competitor

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City PHOENIX
Zip Code 85018
Specialty PSYCHOLOGIST, CLINICAL
City + Specialty PHOENIX + PSYCHOLOGIST, CLINICAL

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Dataset Information

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.

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