Individual
GREGORY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
H. A. D.
Contact information
Practice address
5953 E 86TH ST, INDIANAPOLIS, IN 46250-3504
(317) 570-3945
Mailing address
5953 E 86TH ST, INDIANAPOLIS, IN 46250-3504
(317) 570-3945
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17001105A
IN
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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