Individual provider · Type 1 NPI

Gavin Davis

Physician Assistant · Wilkes-Barre, PA

NPI number 1376410233 Active

Practice location

1175 E Mountain Blvd
Wilkes-Barre, PA 18702-7906

Call (570) 808-1093 Map

Fax (570) 808-7878

Mailing address

100 N Academy Ave
Danville, PA 17822-4903

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XMA067105 (PA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1376410233

Gavin Davis's National Provider Identifier is 1376410233, issued on Oct 23, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Wilkes-Barre, PA. The record was last updated on Nov 20, 2025.