# WALLER AND DAVIS RADIOLOGY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912959396
- **Authorized official:** ROBERT A DAVIS MD (RADIOLOGIST)
- **Authorized official phone:** (859) 226-7214

## Contact information

- **Practice address:** 310 S LIMESTONE, LEXINGTON, KY 40508-3008
- **Practice address phone:** (859) 226-7214
- **Mailing address:** PO BOX 634124, CINCINNATI, OH 45263-0001
- **Mailing address phone:** (859) 226-7214

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/16/2006
- **Last updated:** 09/11/2025
