Individual
TRISHA LYNN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
22355 E QUEEN CREEK RD STE 103-104, QUEEN CREEK, AZ 85142-0604
(480) 677-8282
Mailing address
261 N ROOSEVELT AVE, CHANDLER, AZ 85226-2617
(480) 677-8282
(844) 470-2777
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9821
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133058
—
AZ
01
—
9821
STATE LICENSE
AZ
Enumeration date
06/15/2023
Last updated
11/08/2024
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