Individual
DR. MARK EUGENE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1069 DELAWARE AVE, SUITE 205B, MARION, OH 43302-1400
(740) 387-4578
(740) 387-8638
Mailing address
1069 DELAWARE AVE, SUITE 205B, MARION, OH 43302-1400
(740) 387-4578
(740) 387-8638
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35060844
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0816148
—
OH
Enumeration date
03/10/2006
Last updated
07/10/2012
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