Organization
DENISE L. DAVIS, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENISE L. DAVIS M.D. (PRESIDENT)
(614) 299-9320
Entity
Organization
Contact information
Practice address
114 W 3RD AVE, COLUMBUS, OH 43201-3211
(614) 299-9320
(614) 299-9321
Mailing address
PO BOX 8396, COLUMBUS, OH 43201-0396
(614) 299-9320
(614) 299-9321
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
35070310
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2911399
—
OH
Enumeration date
02/15/2010
Last updated
02/15/2010
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