Individual
DANIEL WAYNE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1035 NIDER BLVD, SUITE 100, VIRGINIA BEACH, VA 23459
(757) 953-8155
Mailing address
1035 NIDER BLVD, SUITE 100, VIRGINIA BEACH, VA 23459
(757) 953-8153
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1108099
—
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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