Organization
G. SCOTT DAVIS, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN DAVIS M.D. (PRESIDENT)
(740) 534-9173
Entity
Organization
Contact information
Practice address
1402 S 6TH ST, IRONTON, OH 45638-2165
(740) 534-9173
(740) 534-9181
Mailing address
PO BOX 4478, IRONTON, OH 45638-4478
(740) 534-9173
(740) 534-9181
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-072747
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000189349
ANTHEM
OH
05
—
2056840
—
OH
Enumeration date
04/04/2007
Last updated
03/07/2023
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