Individual
GARY ALAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1000 E WASHINGTON ST, MEDINA, OH 44256-2170
(330) 721-5173
(330) 721-4908
Mailing address
1000 E WASHINGTON ST, MEDINA, OH 44256-2170
(330) 721-5173
(330) 721-4908
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
34-00-2668
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0444880
—
OH
Enumeration date
10/12/2006
Last updated
07/08/2007
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