Shannon Davidson OD

NPI 1023209350 - Optometrist - 152W00000X

NPI Details
NPI 1023209350
Gender Female
Enumeration Date 08/01/2007
Last Updated 07/23/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
1001 W FIFTH ST
MARYSVILLE OH, 43040, US
Phone (937) 644-8637
Fax (937) 644-8653
Business Location
1001 W FIFTH ST
MARYSVILLE OH, 43040, US
Phone (937) 644-8637
Fax (937) 644-8653
Toxanomy
Taxonomy Code 152W00000X
License State Ohio
License Number 5704
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According to our database, Dr. Shannon Davidson OD NPI is 1023209350, taxonomy code is 152W00000X and license number is 5704, license state is located at Ohio. Shannon Davidson OD physically located at 1001 W Fifth St, Marysville OH, 43040. NPI Number Shannon Davidson OD has the Individual type.

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1023209350 NPI number is provided on an as is basis without warranty of any kind. 1023209350 is maintained by the National Plan & Provider Enumeration System. The contents of Shannon Davidson OD are for informational purposes only.