NPI 1023169398

Gregory Davis, HAD

Practitioner Specialist Indianapolis, IN

Practice location

Address: 5953 E 86th St, Indianapolis, IN 46250-3504
Phone: (317) 570-3945

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 17001105A (IN)

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Registry record

NPI: 1023169398
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jan 2007
Record last updated: 8 Jul 2007

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.