Timothy A Davis
Surgeon Vascular Surgeon
1409 E Briggsmore Ave
Modesto
, California 95355-2707
Timothy A Davis
Surgeon Vascular Surgeon
1409 E Briggsmore Ave
Modesto
, California 95355-2707
(209) 524-1211
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About
Features
Specialties
- Surgeon
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Timothy A Davis
- 600 Coffee Rd
- Modesto, CA
- Zip : 95355-4201
- Phone : (209) 524-1211
Second Address
- Timothy A Davis
- 1409 E Briggsmore Ave
- Modesto, CA
- Zip : 95355-2707
- Phone : (209) 550-4788
Reviews
FAQs
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What type of doctor is Timothy A Davis
In what state does Timothy A Davis practice in?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208200000X | Surgeon | G70793 | CA |
| Y | 208600000X | Surgeon | G70793 | CA |
| N | 2086S0129X | Vascular Surgeon | G70793 | CA |
National Provider Identifier
| NPI | 1114976594 |
|---|---|
| Provider Name | Timothy A Davis |
| First Address | Modesto, CA 95355-4201 |
| Second Address | Modesto, CA 95355-2707 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/05/2006 |
| Last Update Date | 07/06/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G707930 | (05) | CA |
| E96233 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.