Individual
TOMMY LEE DAVIS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2125 NW STEWART PKWY, ROSEBURG, OR 97471-1693
(541) 957-8552
(541) 957-8549
Mailing address
2125 NW STEWART PKWY, ROSEBURG, OR 97471-1693
(541) 957-8552
(541) 957-8549
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
250110
OR
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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