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Individual

STEPHEN VAN DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 DEER RUN RD, DANVILLE, VA 24540-2866
(434) 799-0090
(434) 799-0098
Mailing address
200 DEER RUN RD, DANVILLE, VA 24540-2866
(434) 799-0090
(434) 799-0098

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101038033
VA
207RC0000X
Cardiovascular Disease Physician
MD-25962
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010138710
VA
Enumeration date
07/11/2005
Last updated
08/15/2025
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