Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRYAN ANTHONY DAVIS, PA
ActiveMR. BRYAN ANTHONY DAVIS, PA is a Physician Assistant healthcare provider located in VIENNA, Missouri. NPI 1316928682 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · VIENNA, MO
Registration Details
- NPI Number
- 1316928682
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 14, 2005 (20.732781375376 yrs)
- Last Updated
- Mar 24, 2021
- License
-
1300 (OK)
Practice Information
- Address
-
606 HIGHWAY 63 SVIENNA, MO, 655828101Browse MO providers · Browse ZIP 65582
- Phone
- 5734223636
- Fax
- 5734223434
- Primary Specialty
-
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.