Individual
NICHOLAS D DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2350 MIAMI VALLEY DR, SUITE 530, CENTERVILLE, OH 45459-4778
(937) 435-3546
(937) 435-3568
Mailing address
2350 MIAMI VALLEY DR, SUITE 530, CENTERVILLE, OH 45459-4778
(937) 435-3546
(937) 435-3568
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35092497
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2954192
—
OH
Enumeration date
05/16/2007
Last updated
12/10/2013
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