Organization
MIDWEST VEIN & LASER CENTER OF LIMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD ALLEN DAVIS MD (MANAGING PARTNER)
(419) 222-8346
Entity
Organization
Contact information
Practice address
770 W HIGH ST, SUITE 420, LIMA, OH 45801-3990
(419) 222-8346
(419) 225-8549
Mailing address
770 W HIGH ST, SUITE 420, LIMA, OH 45801-3990
(419) 222-8346
(419) 225-8549
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
35.050244
OH
Other
Enumeration date
06/19/2008
Last updated
10/14/2008
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