Individual
DAVID LYLE HAVERSTICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
JD, CNIM
Contact information
Practice address
8118 CORPORATE WAY STE 212, MASON, OH 45040-9560
(513) 947-8433
(513) 947-9943
Mailing address
8118 CORPORATE WAY STE 212, MASON, OH 45040-9560
(513) 947-8433
(513) 947-9943
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
897
—
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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