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Organization
KEITH L DAVIS MD
Active
Organization
KEITH L DAVIS MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA MCGIRR (OWNER OF JEFFERSON BILLING, INC)
(800) 673-5312
Entity
Organization
Contact information
Practice address
2420 LAKE AVE, ASHTABULA, OH 44004-2420
(440) 994-7582
(440) 994-7539
Mailing address
PO BOX 3111, WARREN, OH 44485-3111
(800) 673-5312
(888) 817-7141
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
052285
OH
Other
Enumeration date
01/21/2010
Last updated
03/04/2011
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