Doctor Name: | DR. JENNIFER N DAVIES |
NPI Number: | 1184828238 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | A100204 |
Business Practice Address: | 3839 Constellation Rd Suite D Lompoc, CA - 934361466 |
Business Phone Number: | 8057333541 |
Business Fax Number: | 8057330502 |
Mailing Address: | 3839 Constellation Rd, Suite D LOMPOC |
State: | CA |
Postal Code: | 934361466 |
Phone Number: | 8057333541 |
Fax Number: | 8057330502 |
NPI Enumeration Date: | 06/13/2007 |
NPI Last Update Date: | 11/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207YX0905X |
License Number: | A100204 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Otolaryngology |
Taxonomy Specialization: | Otolaryngology/Facial Plastic Surgery |
Taxonomy Definition: | An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |