Individual
CORY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PRS
Contact information
Practice address
456 HUNTER AVE, DAYTON, OH 45404-1564
(850) 467-1290
Mailing address
456 HUNTER AVE, DAYTON, OH 45404-1564
(850) 467-1290
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.003598
OH
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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