Individual
TYLER DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1600 S 20TH AVE, SAFFORD, AZ 85546-4011
(928) 322-9353
Mailing address
9276 COTTONWOOD WASH RD, PIMA, AZ 85543-9617
(928) 322-9353
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9349
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/04/2022
Last updated
09/28/2022
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