Mr Gary S Davis, is a
Art Therapist based in Fort Defiance, Arizona. Mr Gary S Davis is licensed to practice in New Mexico (license number 303490) and his current practice location is
Corner Of Route N12 And N7, Fort Defiance, Arizona. He can be reached at his office (for appointments etc.) via phone at
(928) 729-3741.
NPI number for Mr Gary S Davis is 1336435718 and his current mailing address is Po Box 649, Fort Defiance, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336435718.
Healthcare Provider's Profile
Full Name | Mr Gary S Davis |
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Gender | Male |
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Speciality | Art Therapist |
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Location | Corner Of Route N12 And N7, Fort Defiance, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336435718
- Provider Enumeration Date: 06/23/2011
- Last Update Date: 07/11/2011
Medical Identifiers
Medical identifiers for Mr Gary S Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336435718 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 303490 (New Mexico) | Secondary |
221700000X | Art Therapist | 303490 (New Mexico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Gary S Davis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Gary S Davis, Po Box 649, Fort Defiance, AZ 86504-0649 Ph: (928) 729-3741 | Mr Gary S Davis, Corner Of Route N12 And N7, Fort Defiance, AZ 86504-0649 Ph: (928) 729-3741 |
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