Organization
T. R. DAVIS D.C. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY ROGER DAVIS DC (PRESIDENT)
(419) 529-6600
Entity
Organization
Contact information
Practice address
1805 PARK AVE W, ONTARIO, OH 44906-2229
(419) 529-6600
(419) 529-4677
Mailing address
1805 PARK AVE W, ONTARIO, OH 44906-2229
(419) 529-6600
(419) 529-4677
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
712
OH
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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