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NPI Code Detail

MEDICARE: LINDA M DAVIS PA-C

MEDICARE: LINDA M DAVIS PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant50001538OH

General Provider Information

NPI Number : 1275795064
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA M DAVIS PA-C
Provider Business Mailing Address
First Line : 2215 E WATERLOO RD
Second Line : SUITE 313
City : AKRON
State : OH
Zip : 44312-3814
Country : US
Telephone Number : 330-208-2720
Fax Number : 330-208-2721
Provider Business Practice Location Address
First Line : 2215 E WATERLOO RD
Second Line : SUITE 313
City : AKRON
State : OH
Zip : 44312-3814
Country : US
Telephone Number : 330-208-2721
Fax Number : 330-208-2721
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2008
Last Update Date : 06/21/2011

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Directions to “ LINDA M DAVIS PA-C” Practice Location

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