Individual
ROXANNE DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3 RIVERSIDE CIRCLE, ROANOKE, VA 24016-4955
(540) 224-5170
(540) 983-8212
Mailing address
3 RIVERSIDE CIRCLE, ROANOKE, VA 24016-4955
(540) 224-5170
(540) 983-8212
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101-057061
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010311713
—
VA
Enumeration date
02/03/2006
Last updated
08/11/2011
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