Individual
TIMOTHY D DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
111 FRANKLIN HEALTH CMNS, FARMINGTON, ME 04938-6144
(207) 779-2250
Mailing address
111 FRANKLIN HEALTH CMNS, FARMINGTON, ME 04938-6144
(207) 779-2250
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-149
ME
Other
Enumeration date
06/16/2006
Last updated
07/08/2007
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