Individual
DEREK DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1805 27TH ST, PORTSMOUTH, OH 45662-2640
(740) 356-5000
(740) 353-7900
Mailing address
1735 27TH ST, WALLER BLDG. SUITE B 06, PORTSMOUTH, OH 45662-2677
(740) 356-8051
(740) 353-7900
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
58005077
OH
Other
Enumeration date
10/11/2013
Last updated
10/11/2013
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