Individual
DAVIS RIERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.S., B.S.
Contact information
Practice address
1215 LEE ST FL 1, CHARLOTTESVILLE, VA 22908
(434) 924-9400
(434) 243-6999
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
(434) 295-1000
(434) 972-4266
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101264633
VA
390200000X
Student in an Organized Health Care Education/Training Program
0116026008
VA
Other
Enumeration date
06/13/2013
Last updated
07/05/2018
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