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Individual

TY AUSTIN DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1801 N SENATE BLVD STE 535, INDIANAPOLIS, IN 46202-1204
(317) 944-9400
(317) 963-1955
Mailing address
1801 N SENATE BLVD STE 535, INDIANAPOLIS, IN 46202-1204
(317) 944-9400
(317) 963-1955

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
02008925A
IN
208D00000X
General Practice Physician
Primary
OS17192
FL

Other

Enumeration date
04/12/2019
Last updated
07/07/2026
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