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Individual

THOMAS J DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2730 S VAL VISTA DR, SUITE 152, GILBERT, AZ 85295-1675
(480) 222-7664
(480) 222-7666
Mailing address
2730 S VAL VISTA DR, SUITE 152, GILBERT, AZ 85295-1675
(480) 222-7664
(480) 222-7666

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34178
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
975617
AZ
01
Z144764
PTAN
AZ
Enumeration date
06/27/2006
Last updated
09/13/2011
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