Individual
DR. RICHARD OWEN DAVIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-6697
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
390200000X.
PA
207P00000X
Emergency Medicine Physician
Primary
OS017486
PA
Other
Enumeration date
04/04/2012
Last updated
10/19/2020
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