Timothy A Davis in Modesto - Vascular Surgery
Timothy A Davis - NPI 1114976594
Timothy A Davis is a Vascular Surgery in Modesto, California. Timothy A Davis practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Timothy A Davis is 1114976594. The last update date is 2010-06-07.
Timothy A Davis's current location address is 1409 E Briggsmore Ave, Modesto, California. You can contact this provider via phone number 2095504788. The mailing address for Timothy A Davis is 1409 E Briggsmore Ave, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy A Davis |
|---|---|
| Address | 1409 E Briggsmore Ave, Modesto, California |
| Phone Number | 2095504788 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1114976594 |
|---|---|
| Provider Enumeration Date | 2006-05-10 |
| Last Updated Date | 2010-06-07 |
Provider Mailing Address Detail
| Address | 1409 E Briggsmore Ave |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953552707 |
| Phone Number | 2095504788 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | G70793 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G707930 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Timothy A Davis by the Centers for Medicare & Medicaid Services?
The Timothy A Davis has been assigned the NPI (National Provider Identifier) 1114976594 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Timothy A Davis's facilities are situated?
The facilities of Timothy A Davis are physically located at the following address: 1409 E Briggsmore Ave, Modesto, CA, 953552707.
What is the Timothy A Davis's area of specialization and corresponding taxonomy classification?
The Timothy A Davis's specialty field is Vascular Surgery, and it falls under the taxonomy code 2086S0129X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1114976594 to Timothy A Davis?
The Centers for Medicare & Medicaid Services assigned the 1114976594 to Timothy A Davis on 2006-05-10.
As of what date were the details pertaining to Timothy A Davis last refreshed?
The information related to the Timothy A Davis, including its address, specialty, and other relevant details, was last updated on 2010-06-07.