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Individual

TROY ALLEN DAVISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3931 STOCKTON HILL RD, STE C, KINGMAN, AZ 86409-3001
(928) 681-6100
Mailing address
3931 STOCKTON HILL RD, STE C, KINGMAN, AZ 86409-3001
(928) 681-6100

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2978
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
940206
AZ
Enumeration date
09/15/2006
Last updated
03/07/2023
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