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Individual

MARK A DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1622 E TURKEYFOOT LAKE RD, #301, AKRON, OH 44312-5277
(330) 344-8565
(330) 896-7085
Mailing address
1622 E TURKEYFOOT LAKE RD, #301, AKRON, OH 44312-5277
(330) 344-8565
(330) 896-7085

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35057496D
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0950010
OH
01
1841239274
PARTNERS PHYSICIAN GROUP TYPE 2 NPI #
OH
01
2551671
PARTNERS PHYSICIAN GROUP MEDICAID GROUP #
OH
01
9338635
PARTNERS PHYSICIAN GROUP MEDICARE GROUP #
OH
Enumeration date
05/05/2006
Last updated
12/04/2015
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