Individual
DR. CHRISTOPHER P DAVOLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
I3-0001292
DE
152W00000X
Optometrist
OEG001481
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102555509 0001
—
PA
Enumeration date
05/19/2006
Last updated
09/04/2014
Update your record
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