Doctor Name: | ROBERT DAVIS |
NPI Number: | 1255565164 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 64767 |
Business Practice Address: | 281 Lariat Dr Gallipolis, OH - 456311403 |
Business Phone Number: | 7403390432 |
Business Fax Number: | |
Mailing Address: | 281 Lariat Dr, GALLIPOLIS |
State: | OH |
Postal Code: | 456311403 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/06/2009 |
NPI Last Update Date: | 05/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC0200X |
License Number: | 64767 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Critical Care Medicine |
Taxonomy Definition: |