Individual
BRIAN ROBERT DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 KELLEY DR, COAL TOWNSHIP, PA 17866-1020
(570) 644-7890
Mailing address
526 AIRPORT RD, ASHLAND, PA 17921-9125
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA050656
PA
Other
Enumeration date
10/08/2025
Last updated
10/24/2025
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