SearchOhio164W00000X

Larry Davis

NPI 1396083390 · on the registry since 2013 · sole proprietor

Practice

Address
4011 Glenwood Ave
Apt 1
Youngstown, OH 44512
Phone
(330) 318-0392
Clinicians at this address
2

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-01-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio