Individual
MARK E. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
341 YOUNGSTOWN KINGSVILLE RD SE, VIENNA, OH 44473-9601
(800) 471-8592
(330) 758-5121
Mailing address
341 YOUNGSTOWN KINGSVILLE RD SE, VIENNA, OH 44473-9601
(800) 471-8592
(330) 758-5121
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4595
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0797857
—
OH
05
—
2056260
—
OH
Enumeration date
06/24/2005
Last updated
02/19/2008
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