Healthcare Provider Details

I. General information

NPI: 1578628400
Provider Name (Legal Business Name): DAVID BRUCE NASH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2006
Last Update Date: 09/29/2023
Certification Date: 09/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1995 E STATE ST
SALEM OH
44460-2423
US

IV. Provider business mailing address

L- 3513
COLUMBUS OH
44460-2423
US

V. Phone/Fax

Practice location:
  • Phone: 330-332-7320
  • Fax: 330-332-7723
Mailing address:
  • Phone: 330-520-2221
  • Fax: 330-776-5557

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number35043342
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: