NPI 1013623842

Jesse Davis

Practitioner Phlebology Physician Mentor, OH

Practice location

Address: 7232 Justin Way, Mentor, OH 44060-4881
Phone: (440) 578-8200

Registered specialties

Phlebology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 202K00000X Licence FAT2P469 (OH)

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Registry record

NPI: 1013623842
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Jan 2023
Record last updated: 25 Apr 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.