Craig Matthew Davis, MD is a
Dermatology - Dermatopathology based in Las Vegas, Nevada. Craig Matthew Davis is licensed to practice in Nevada (license number 10713) and his current practice location is
8440 W Lake Mead Blvd, Suite 104, Las Vegas, Nevada. He can be reached at his office (for appointments etc.) via phone at
(702) 489-4838.
NPI number for Craig Matthew Davis is 1972611556 and his current mailing address is 8440 W Lake Mead Blvd, Suite 104, Las Vegas, Nevada. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972611556.
Healthcare Provider's Profile
| Full Name | Craig Matthew Davis |
|---|
| Gender | Male |
|---|
| Speciality | Dermatology - Dermatopathology |
|---|
| Location | 8440 W Lake Mead Blvd, Las Vegas, Nevada |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1972611556
- Provider Enumeration Date: 08/25/2006
- Last Update Date: 07/20/2016
Medical Identifiers
Medical identifiers for Craig Matthew Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972611556 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 4820 (Oklahoma) | Secondary |
| 207N00000X | Dermatology | 23337 (Oklahoma) | Secondary |
| 207N00000X | Dermatology | 10713 (Nevada) | Secondary |
| 207N00000X | Dermatology | 31661 (Arizona) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 10713 (Nevada) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 31661 (Arizona) | Secondary |
| 207ND0900X | Dermatology - Dermatopathology | 10713 (Nevada) | Primary |
| 207ND0900X | Dermatology - Dermatopathology | 31661 (Arizona) | Secondary |
| 207NS0135X | Dermatology - Procedural Dermatology | 10713 (Nevada) | Secondary |
| 207ZD0900X | Pathology - Dermatopathology | 23337 (Oklahoma) | Secondary |
| 207ZD0900X | Pathology - Dermatopathology | 10713 (Nevada) | Secondary |
| 207ZD0900X | Pathology - Dermatopathology | 31661 (Arizona) | Secondary |
| 207ZP0101X | Pathology - Anatomic Pathology | 10713 (Nevada) | Secondary |
| 207ZP0101X | Pathology - Anatomic Pathology | 31661 (Arizona) | Secondary |
| 208D00000X | General Practice | 10713 (Nevada) | Secondary |
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. Craig Matthew 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 |
|---|
Craig Matthew Davis, MD
8440 W Lake Mead Blvd, Suite 104,
Las Vegas, NV 89128-7648
Ph: (702) 489-4838 | Craig Matthew Davis, MD
8440 W Lake Mead Blvd, Suite 104,
Las Vegas, NV 89128-7648
Ph: (702) 489-4838 |
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