Individual
ELIZABETH ANN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D, MBA
Contact information
Practice address
1250 RALSTON AVE STE 104, DEFIANCE, OH 43512-5308
(419) 785-3281
(419) 784-1606
Mailing address
333 N SUMMIT ST FL 7, TOLEDO, OH 43604-1531
(419) 785-3281
(419) 784-1606
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01082080A
IN
207Q00000X
Family Medicine Physician
Primary
35.132860
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300025366
—
IN
Enumeration date
03/28/2015
Last updated
11/03/2023
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