Individual
JOHN DANIEL DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4249 NEW MARKET BANTA RD, LEWISBURG, OH 45338-7745
(937) 962-9347
(937) 962-9027
Mailing address
4249 NEW MARKET BANTA RD, LEWISBURG, OH 45338-7745
(937) 962-9347
(937) 962-9027
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35 - 038969
OH
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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