Individual
MR. ROBERT RICHARD DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
372 W LANCASTER AVENUE, WAYNE, PA 19087
(610) 688-8807
(610) 688-2970
Mailing address
372 W LANCASTER AVENUE, WAYNE, PA 19087-3924
(610) 688-8807
(610) 688-2970
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
003222-L
PA
363LA2200X
Adult Health Nurse Practitioner
Primary
SP009548
PA
Other
Enumeration date
08/23/2006
Last updated
06/17/2024
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