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Dr. William Jacob Davis, MD
Military Health Care Provider in Offutt Afb, Nebraska
NPI 1417576364

William Jacob Davis is a Military Health Care Provider based in Offutt Afb, NE. William Jacob Davis practices in Offutt Afb, NE and has the professional credentials of MD. The NPI Number for William Jacob Davis is 1417576364 and holds a License No. (Nebraska).

The current practice location address for William Jacob Davis is 2501 Capehart Rd, Offutt Afb, NE and can be reached out via phone at 402-232-2273.

Location: 2501 Capehart Rd, Offutt Afb, NE, 68113-1043
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417576364
Provider Name
William Jacob Davis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2501 Capehart Rd, Offutt Afb, NE, 68113-1043
Phone Number
402-232-2273
Fax Number
Provider Enumeration Date
04/10/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2501 Capehart Rd
City
Offutt Afb
State
Nebraska
Zip
68113-1043
Phone Number
402-232-2273
Fax Number
person
Provider Business Mailing Address Details
Address
2501 Capehart Rd
City
Offutt Afb
State
Nebraska
Zip
68113-1043
Phone Number
402-232-2273
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
33953 (Nebraska)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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