Individual
EDWIN GILBERT DAVY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1040 DELAWARE AVE, MARION, OH 43301-1814
(740) 383-7000
(740) 383-7942
Mailing address
PO BOX 1814, MARION, OH 43307-1814
(740) 383-7847
(740) 383-7942
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35031752D
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000141633
ANTHEM
—
05
—
0511137
—
OH
01
—
0527463
PALMETTO MEDICARE
—
01
—
0527468
PALMETTO MEDICARE
—
01
—
1601314
UHC
—
01
—
311098079249
MEDICAL MUTUAL
—
01
—
341893458005
MEDICAL MUTUAL
—
01
—
353079
SUBMITTER NO.
—
01
—
4486261
AETNA
—
Enumeration date
06/09/2006
Last updated
07/08/2007
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