Individual
DR. TIMOTHY JORDAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3900 W RAY RD STE 1, CHANDLER, AZ 85226-2412
(480) 820-9880
Mailing address
111 E 4TH ST STE 440, ALTON, IL 62002-6206
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT-002825
AZ
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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