Individual
TYLER DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9100 W 74TH ST, SHAWNEE MISSION, KS 66204-4004
(913) 676-2000
Mailing address
9100 W 74TH ST, SHAWNEE MISSION, KS 66204-4004
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
05-47804
KS
Other
Enumeration date
03/25/2019
Last updated
07/11/2023
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