Provider Demographics
NPI:1225158231
Name:FRANK M DAVIS, JR., DPM, LTD
Entity Type:Organization
Organization Name:FRANK M DAVIS, JR., DPM, LTD
Other - Org Name:ASSOCIATED HEALTH FOOT GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:M
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:JR
Authorized Official - Credentials:DPM
Authorized Official - Phone:775-829-8066
Mailing Address - Street 1:1300 E PLUMB LN
Mailing Address - Street 2:SUITE A
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-3696
Mailing Address - Country:US
Mailing Address - Phone:775-829-8066
Mailing Address - Fax:775-829-8069
Practice Address - Street 1:1300 E PLUMB LN
Practice Address - Street 2:SUITE A
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-3696
Practice Address - Country:US
Practice Address - Phone:775-829-8066
Practice Address - Fax:775-829-8069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-31
Last Update Date:2008-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV049213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVT67178Medicare UPIN
NVV31308Medicare PIN