Individual
DAVID W MADISON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
601 S. EDWIN C. MOSES BVLD., DAYTON, OH 45417
(937) 741-9929
Mailing address
4638 EASTGATE AVE, DAYTON, OH 45420-3310
(937) 902-1066
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN.407748
OH
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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