Provider Demographics
NPI:1194852871
Name:DAVIS, GAYLE CHERIE
Entity Type:Individual
Prefix:MS
First Name:GAYLE
Middle Name:CHERIE
Last Name:DAVIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1455 BEELER ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80010-3027
Mailing Address - Country:US
Mailing Address - Phone:303-360-6014
Mailing Address - Fax:303-360-0794
Practice Address - Street 1:1455 BEELER ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80010-3027
Practice Address - Country:US
Practice Address - Phone:303-360-6014
Practice Address - Fax:303-360-0794
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator