Organization
OHIO VALLEY HEMORRHOID CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEEVIN R DAVIS M.D. (PRESIDENT/OWNER)
(513) 482-9291
Entity
Organization
Contact information
Practice address
1515 S BREIEL BLVD, MIDDLETOWN, OH 45044-6703
(513) 482-9291
(513) 351-1547
Mailing address
3460 DAVIS LN, CINCINNATI, OH 45237-2402
(513) 482-9291
(513) 351-1547
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
35046494
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000579583
ANTHEM
OH
Enumeration date
05/30/2008
Last updated
06/19/2009
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