Individual
MARK DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7101 JAHNKE RD, RICHMOND, VA 23225-4017
(804) 327-4046
Mailing address
3113 SUNSET AVE, RICHMOND, VA 23221-3926
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
0101236306
VA
Other
Enumeration date
05/09/2007
Last updated
07/24/2012
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