Individual
MATTHEW TSUBASA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8140 TOWNSHIP LINE RD, INDIANAPOLIS, IN 46260-5824
(317) 875-9700
Mailing address
8110 E COUNTY 700 N, BROWNSBURG, IN 46112-9069
(317) 460-2864
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
06006576A
IN
Other
Enumeration date
12/30/2022
Last updated
12/30/2022
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