Individual
ROBERT THOMAS DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7547 MEDICAL DRIVE, SUITE 2200, GLOUCESTER, VA 23061
(804) 693-2720
(804) 694-0597
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101026942
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285716712
—
VA
Enumeration date
10/20/2006
Last updated
10/04/2013
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