Individual provider · Type 1 NPI
Alyssa Davis, PA-C
Medical Physician Assistant · Philadelphia, PA
NPI number
1578082046
Active
Practice location
51 N 39th St # 340
Philadelphia, PA 19104
Mailing address
51 N 39th St, Medical Office Building 340
Philadelphia, PA 19104-4649
Other practice locations
- 1217 S Broad St, Philadelphia, PA 19147 · (215) 999-1217
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | MA059770 (PA) |
Medical Physician Assistant: Definition to come...
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About NPI 1578082046
Alyssa Davis, PA-C's National Provider Identifier is 1578082046, issued on Sep 15, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 20, 2019.