Individual
MITCHELL ROBERT DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
376 E PENN DR, ENOLA, PA 17025-2158
(717) 732-2423
(717) 732-6780
Mailing address
376 E PENN DR, ENOLA, PA 17025-2158
(717) 732-2423
(717) 732-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000095
PA
Other
Enumeration date
03/31/2006
Last updated
04/14/2008
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