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Individual

DR. DAVID MICHAEL GODFREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2212 MIFFLIN AVE, SUITE 220, ASHLAND, OH 44805-8848
(419) 207-2663
(419) 289-4631
Mailing address
2212 MIFFLIN AVE, SUITE 220, ASHLAND, OH 44805-8848
(419) 207-2663
(419) 289-4631

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
35.095862
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3082748
OH
Enumeration date
05/09/2008
Last updated
02/18/2016
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