Individual
JOHN T. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2828 E BARNETT RD, MEDFORD, OR 97504-8342
(541) 774-5853
Mailing address
2828 E BARNETT RD, MEDFORD, OR 97504-8342
(541) 774-5853
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2049
OK
363A00000X
Physician Assistant
Primary
PA161246
OR
Other
Enumeration date
11/04/2011
Last updated
05/30/2013
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