Individual
DR. GREGORY J DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
11201 SHAKER BLVD, SUITE 240, CLEVELAND, OH 44104-3873
(440) 842-5555
(440) 842-5556
Mailing address
11201 SHAKER BLVD, SUITE 240, CLEVELAND, OH 44104-3873
(216) 791-0017
(216) 791-0021
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34007492
OH
207R00000X
Internal Medicine Physician
34007492D
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2249409
—
OH
Enumeration date
09/20/2005
Last updated
11/27/2012
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