| Davis Family Practice | |
|
390 Marion Ave Mansfield OH 44903-2015 | |
| (419) 756-7500 | |
| (419) 525-0001 |
| Full Name | Davis Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 390 Marion Ave, Mansfield, Ohio |
| Authorized Official Name and Position | Sabrina L Davis (OWNER) |
| Authorized Official Contact | 4197567500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Davis Family Practice 390 Marion Ave Mansfield OH 44903-2015 Ph: (419) 756-7500 | Davis Family Practice 390 Marion Ave Mansfield OH 44903-2015 Ph: (419) 756-7500 |
| NPI Number | 1245303221 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 01/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245303221 | NPI | - | NPPES |
| 57229940400 | Other | OH | BWC |
| 2018613 | Medicaid | OH | |
| 5240682 | Other | OH | AETNA |
| 000000213452 | Other | OH | BLUE SHIELD |
| 340069404001 | Other | OH | MEDICAL MUTUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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