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Individual

DR. CORY WILLIAM DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-3356
Mailing address
1 WYOMING ST, ED DEPT, DAYTON, OH 45409-2722
(937) 208-3356

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.138100
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0388806
OH
01
300041465
INDIANA
IN
01
H776260
MEDICARE PTAN
OH
Enumeration date
04/05/2017
Last updated
10/26/2021
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