Individual
TRISHA LYNN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5110 E SOUTHERN AVE STE 107, MESA, AZ 85206-2790
(888) 405-6396
(415) 252-7176
Mailing address
5110 E SOUTHERN AVE STE 107, MESA, AZ 85206-2790
(888) 405-6396
(415) 252-7176
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
07/01/2026
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