Organization Name: | OHIO VALLEY HEMORRHOID CENTER |
NPI Number: | 1831357383 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEEVIN R DAVIS (PRESIDENT/OWNER) |
Mailing Address: | 1515 S Breiel Blvd Middletown |
State: | OH US |
Postal Code: | 450446703 |
Phone Number: | 5134829291 |
Fax Number: | 5133511547 |
NPI Enumeration Date: | 05/30/2008 |
NPI Last Update Date: | 06/19/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 35046494 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |