Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW DEWITT DAVIS, PA
Active Sole ProprietorMATTHEW DEWITT DAVIS, PA is a Physician Assistant healthcare provider located in FARGO, North Dakota. NPI 1477238533 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FARGO, ND
Registration Details
- NPI Number
- 1477238533
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 16, 2023 (3.1216545379834 yrs)
- Last Updated
- Jul 20, 2023
- License
-
PAC1010 (ND)
- Sole Proprietor
- Yes
Practice Information
- Address
-
801 BROADWAY NFARGO, ND, 581023641Browse ND providers · Browse ZIP 58102
- Phone
- 7012342000
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in FARGO, ND
| Name | Credential | NPI |
|---|---|---|
| JAY R METZGER | PA | 1437153905 |
| KARLA MAY HENNEQUIN | PAC | 1841274248 |
| MR. ERIC L HARRY | PAC | 1861478745 |
| MR. JAMES ALAN BERGLUND | PA-C | 1194784918 |
| DAWN L DEAL-DAHLE | PA-C | 1518922475 |
| BARBARA J HAMPLE | PA-C | 1497706725 |
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.