Individual
DR. DAVID ARTHUR PACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1430 COLUMBUS AVE, WASHINGTON COURT HOUSE, OH 43160-1703
(740) 333-2780
Mailing address
697 MISTLETOE ST, COLUMBUS, OH 43230-4826
(614) 476-2374
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35-03-0158-P
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0112265
—
OH
05
—
64154214
—
KY
Enumeration date
05/09/2007
Last updated
07/08/2007
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