Shane Christopher Davis
Shane Christopher Davis is a Military Health Care Provider in San Diego, California. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
34800 Bob Wilson DrSan Diego, CA 92134-1854
Phone: (714) 727-9366
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Specialties & licences
| Military Health Care Provider (primary) | Taxonomy 171000000X |
|---|
Record details
| NPI number | 1760173157 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 16, 2023 |
| Last updated in NPPES | October 29, 2025 |
| Certification date | October 29, 2025 |
| Mailing address | 1141 Thomas Ave, San Diego, CA 92109-4152 |
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