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Individual

MR. JAMES BRIAN DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5141 MORNING SUN RD, OXFORD, OH 45056
(513) 523-2156
(513) 523-2503
Mailing address
5141 MORNING SUN RD, OXFORD, OH 45056
(513) 523-2156
(513) 523-2503

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01034495A
IN
208000000X
Pediatrics Physician
Primary
35046750
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00000010784
OH AND IN ANTHEM BCBS
05
0484819
OH
05
100349480
IN
Enumeration date
10/05/2006
Last updated
04/13/2022
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