Individual
DALTON ALAN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3800 VICTORY PKWY UNIT 1, CINCINNATI, OH 45207-1092
(513) 745-3000
Mailing address
2215 VICTORY PKWY APT D5, CINCINNATI, OH 45206-2831
(614) 905-9057
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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