Individual
TYLER DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3570 FOREST LAKE DR, UNIONTOWN, OH 44685-8105
(720) 200-2825
Mailing address
3570 FOREST LAKE DR, UNIONTOWN, OH 44685-8105
(720) 200-2825
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
838601
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TD2015
FFM UID
OH
Enumeration date
02/04/2015
Last updated
02/04/2015
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