Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tyler Davis, PAC

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1396472833

Tyler Davis, PAC is a Physician Assistant in Safford, Arizona. Qualified in 2022, 4 years ago. Practices with Mt Graham Regional Medical Center Inc, a 65-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2022
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

1600 S 20th Ave
Safford, AZ 85546-4011
Phone: (928) 322-9353
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9349 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1396472833
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedAugust 4, 2022
Last updated in NPPESSeptember 28, 2022
Certification dateSeptember 28, 2022
Mailing address9276 Cottonwood Wash Rd, Pima, AZ 85543-9617

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Mt Graham Regional Medical Center Inc — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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