Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK M DAVIS, D.P.M.
ActiveDR. JACK M DAVIS, D.P.M. is a Foot Surgery Podiatrist healthcare provider located in FARR WEST, Utah. NPI 1225104250 is currently active in the NPPES registry. Verify at CMS.
Foot Surgery Podiatrist · FARR WEST, UT
Registration Details
- NPI Number
- 1225104250
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 28, 2006 (19.676156209816 yrs)
- Last Updated
- Jul 8, 2007
- License
-
105902-0501 (UT)
Practice Information
- Address
-
2251 W 900 NFARR WEST, UT, 844049586Browse UT providers · Browse ZIP 84404
- Phone
- 8017328035
- Primary Specialty
-
Foot Surgery Podiatrist
213ES0131X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.