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Individual

DR. TRENTON DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5151 REED RD, SUITE 225-C, COLUMBUS, OH 43220-2595
(614) 457-2306
(614) 884-0776
Mailing address
5151 REED RD, SUITE 225-C, COLUMBUS, OH 43220-2595
(614) 457-2306
(614) 884-0776

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35-093482
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3004902
OH
01
P00863975
MEDICARE RAILROAD
Enumeration date
03/28/2007
Last updated
05/18/2015
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