Individual provider · Type 1 NPI

Tara A. Davis, PA-C, ATC

Medical Physician Assistant · Philadelphia, PA

NPI number 1346394699 Active

Practice location

235 S 33rd St
Philadelphia, PA 19104-6322

Mailing address

239 Glen View Ter
Abingdon, MD 21009-3114

Other practice locations

  • 8000 York Rd, Towson University, Towson, MD 21252-0001 · (410) 704-5224

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XA0000485 (MD)
Athletic Trainer 2255A2300X000133 (CT)
Medical Physician Assistant Primary 363AM0700XMA064151 (PA)

Medical Physician Assistant: Definition to come...

9 other providers at this address

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About NPI 1346394699

Tara A. Davis, PA-C, ATC's National Provider Identifier is 1346394699, issued on Jan 23, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 5, 2022.