MR. Bryan Anthony Davis, PA

NPI #1316928682 in Vienna, Missouri

Provider Information

NPI Number: 1316928682
Entity Type: Individual
Name: MR. Bryan Anthony Davis, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Nov 14, 2005
Last Updated: Mar 24, 2021

Practice Location

Address: 606 HIGHWAY 63 S
City: Vienna
State: Missouri
ZIP Code: 65582-8101
Phone: (573) 422-3636

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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