Doctor Name: | GARY ALAN DAVIS |
NPI Number: | 1811086473 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 34-00-2668 |
Business Practice Address: | 1000 E Washington St Medina, OH - 442562170 |
Business Phone Number: | 3307215173 |
Business Fax Number: | 3307214908 |
Mailing Address: | 1000 E Washington St, MEDINA |
State: | OH |
Postal Code: | 442562170 |
Phone Number: | 3307215173 |
Fax Number: | 3307214908 |
NPI Enumeration Date: | 10/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 34-00-2668 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |