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NPI Code Detail

MEDICARE: STEVEN DAVIS

MEDICARE: STEVEN DAVIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1247100000XRadiologic Technologist

General Provider Information

NPI Number : 1497364251
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN DAVIS
Provider Business Mailing Address
First Line : 2520 VALLEY DR
Second Line :
City : POINT PLEASANT
State : WV
Zip : 25550-2092
Country : US
Telephone Number : 130-467-5434
Fax Number :
Provider Business Practice Location Address
First Line : 2520 VALLEY DR
Second Line :
City : POINT PLEASANT
State : WV
Zip : 25550-2092
Country : US
Telephone Number : 130-467-5434
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2020
Last Update Date : 07/28/2020

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Directions to “ STEVEN DAVIS ” Practice Location

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