Individual
TIMOTHY LUKE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
251 N MAIN ST, CEDARVILLE, OH 45314-8501
(937) 766-6500
Mailing address
3351 STRAIGHT RD, FREDONIA, NY 14063-9776
(716) 476-1454
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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