GLEN DAVIS

HOLZER CLINIC LLC

Dr GLEN DAVIS is a male medical professional, specializing in Internal Medicine. He graduated in 1995 from West Virginia University School Of Medicine.

Contact

HOLZER CLINIC LLC

100 JACKSON PIKE
GALLIPOLIS
OH
456311560

Tel: 7404465050

GLEN DAVIS Information

Npi 1124168406
Pac Id 7517030117
Professional Enrollment Id I20080715000534
Last Name DAVIS
First Name GLEN
Middle Name
Suffix
Gender M
Credential
Medical School Name WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1995
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name HOLZER CLINIC LLC
Group Practice Pac Id 5890606008
Number Of Group Practice Members 226
Line 1 Street Address 100 JACKSON PIKE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City GALLIPOLIS
State OH
Zip Code 456311560
Phone Number 7404465050
Hospital Affiliation Ccn 1 510007
Hospital Affiliation Lbn 1 ST MARY'S MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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