T. R. Davis D.c. Inc.

NPI #1073890034 in Ontario, Ohio

Provider Information

NPI Number: 1073890034
Entity Type: Organization
Organization Name: T. R. Davis D.c. Inc.
Primary Specialty: Clinic/Center
Enumeration Date: Nov 4, 2011
Last Updated: Nov 4, 2011

Practice Location

Address: 1805 PARK AVE W
City: Ontario
State: Ohio
ZIP Code: 44906-2229
Phone: (419) 529-6600

Authorized Official

Name: DR. TIMOTHY ROGER DAVIS, DC
Title: PRESIDENT
Phone: (419) 529-6600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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