Individual
MR. DANIEL H DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2450 NORTHPARK DR STE A, COLUMBUS, IN 47203-2292
(812) 376-3311
(812) 376-4125
Mailing address
PO BOX 775383, CHICAGO, IL 60677-5383
(812) 376-5315
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
01048628
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000984492
ANTHEM PIN
IN
05
—
200188600A
—
IN
Enumeration date
01/30/2007
Last updated
09/06/2024
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