Individual
DR. EVAN T DAVIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., PA-C
Contact information
Practice address
2296 OPITZ BLVD STE 230, WOODBRIDGE, VA 22191-3345
(703) 878-0924
Mailing address
7740 GUNSTON PLZ, LORTON, VA 22079-1897
(703) 878-0924
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0110005759
VA
Other
Enumeration date
06/13/2017
Last updated
07/21/2022
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