Charles O Davis, PA

NPI #1851795892 in Ontario, Ohio

Provider Information

NPI Number: 1851795892
Entity Type: Individual
Name: Charles O Davis, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Oct 20, 2014
Last Updated: Dec 29, 2020

Practice Location

Address: 2981 W 4TH ST
City: Ontario
State: Ohio
ZIP Code: 44906-1267
Phone: (419) 709-8640

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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