Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GARY S DAVIS
Active Sole ProprietorMR. GARY S DAVIS is a Art Therapist healthcare provider located in FORT DEFIANCE, Arizona. NPI 1336435718 is currently active in the NPPES registry. Verify at CMS.
Art Therapist · FORT DEFIANCE, AZ
Registration Details
- NPI Number
- 1336435718
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 23, 2011 (15.166787596019 yrs)
- Last Updated
- Jul 11, 2011
- Licenses
-
303490 (NM)303490 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
CORNER OF ROUTE N12 AND N7FORT DEFIANCE, AZ, 865040649Browse AZ providers · Browse ZIP 86504
- Phone
- 9287293741
- Fax
- 9287298943
- Primary Specialty
-
Art Therapist
221700000X
- Additional Specialty
- Art Therapist
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.