Individual
ERIC T DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
376 W 10TH AVE, 760 PRIOR HALL, COLUMBUS, OH 43210
(614) 293-3551
Mailing address
111 W 3RD AVE APT 211, COLUMBUS, OH 43201-3258
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301115244
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/24/2014
Last updated
06/25/2018
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