Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ansen Davis Wounded Face, PA-C

Individual provider Physician Assistant · NPI 1710375621

Ansen Davis Wounded Face, PA-C is a Physician Assistant in Phoenix, Arizona. Qualified in 2014, 12 years ago. Practices with Dhew Ind Hlth Sv Hlth Svs and Mntl Hlth Adm, a 223-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
12
Licensed in
AZ
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4212 N 16th St
Phoenix, AZ 85016-5319
Phone: (602) 263-1200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5815 (AZ)

Record details

NPI number1710375621
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 30, 2014
Last updated in NPPESFebruary 11, 2025
Certification dateFebruary 11, 2025
Mailing address4212 N 16th St, Phoenix, AZ 85016-5319

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Dhew Ind Hlth Sv Hlth Svs And Mntl Hlth Adm — 223 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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