Individual
DR. HOMER BARDO DAVIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER BLVD, CHESTER, PA 19013-3902
(610) 447-2000
Mailing address
1117 KING OF PRUSSIA RD, RADNOR, PA 19087-2831
(610) 964-9005
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD018636E
PA
Other
Enumeration date
05/28/2007
Last updated
07/08/2007
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