Individual
DR. MARK PHILLIP DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5501 BACKLICK RD, SUITE 105, SPRINGFIELD, VA 22151-3933
(703) 642-2273
(703) 564-6544
Mailing address
5501 BACKLICK RD, SUITE 105, SPRINGFIELD, VA 22151-3933
(703) 642-2273
(703) 564-6544
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101027333
VA
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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