Individual
GRIFFITH TANNER DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
468 N VERMONT AVE, DINUBA, CA 93618-1631
(559) 591-6200
Mailing address
468 N VERMONT AVE, DINUBA, CA 93618-1631
(559) 591-6200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
56852
CA
Other
Enumeration date
06/09/2019
Last updated
06/09/2019
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