PATRICK DAVIS PA-C LTD
NPI 1366702797
Physician Assistant - Surgical in Boulder City, NV

Active since May 18, 2012
724 KENDALL LN, BOULDER CITY, NV 89005(702) 604-7422(908) 345-8788 Get Directions Write a Review

NPPES record last updated: October 22, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Patrick Davis Pa-c Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATRICK DAVIS PA-C LTD (NPI 1366702797) is a healthcare organization registered as a surgical in Boulder City, Nevada and active in the NPI registry since May 2012. The organization lists Patrick Davis, Owner, as its authorized official.

NPPES Registry Identity

NPI1366702797
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NamePATRICK DAVIS PA-C LTD
Location Address724 KENDALL LNBoulder City, NV 89005-1112
Mailing AddressPo Box 752287Las Vegas, NV 89136-2287 · (702) 604-7422 · Fax (908) 345-8788
Fax(908) 345-8788
Organization SubpartNo
Authorized OfficialPatrick DavisOwner · (702) 604-7422
Enumeration DateMay 18, 2012
Last NPPES UpdateOctober 22, 2019
NPI 1366702797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NV · PA823
724 KENDALL LN, Boulder City, NV 89005

Other Identifiers 1

OtherNV20091190921NV · Nv Sos Business License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
724 KENDALL LN
BOULDER CITY, NV 89005

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366702797, enumerated as an "organization" on May 18, 2012.

The provider is located at 724 KENDALL LN BOULDER CITY, NV 89005 and the phone number is (702) 604-7422.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.