Individual
BRIAN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
127 TAYLOR AVE, WHEELING, WV 26003-5459
(304) 218-5840
Mailing address
127 TAYLOR AVE, WHEELING, WV 26003-5459
(304) 218-5840
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
C753405
WV
Other
Enumeration date
02/07/2019
Last updated
02/07/2019
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