Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wayne Albert Davis, DO

Individual provider Family Medicine Physician · NPI 1063610293

Wayne Albert Davis, DO is a Family Practice in Phoenix, Arizona. Graduated from Arizona College of Osteopathic Medicine Mid Western University in 2006, 20 years ago. Practices with Mountain Park Health Center, a 121-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
20
Trained at
Arizona College of Osteopathic Medicine Mid Western University
Licensed in
AZ
In the registry since
2007
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4131 N 24th St Ste B102
Phoenix, AZ 85016-6231
Phone: (480) 882-4545
Fax: (602) 903-7091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4825 (AZ)

Record details

NPI number1063610293
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 10, 2007
Last updated in NPPESSeptember 29, 2025
Certification dateSeptember 29, 2025
Mailing address7500 N Dreamy Draw Dr Ste 145, Phoenix, AZ 85020-4668

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated 2006 (20 years in practice)
Group practice Mountain Park Health Center — 121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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