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Organization
VIENNA MEDICAL ARTS CLINIC, INC
Active
Organization
VIENNA MEDICAL ARTS CLINIC, INC
Active
Other names
MARK E. DAVIS, D.O.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK E DAVIS D.O. (OWNER)
(330) 394-2305
Entity
Organization
Contact information
Practice address
341 YOUNGSTOWN KINGSVILLE RD SE, VIENNA, OH 44473-9601
(330) 394-2305
(330) 394-1405
Mailing address
341 YOUNGSTOWN KINGSVILLE RD SE, VIENNA, OH 44473-9601
(330) 394-2305
(330) 394-1405
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34-004595
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0797857
—
OH
05
—
2056260
—
OH
Enumeration date
10/18/2007
Last updated
02/05/2008
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