Individual
ROBERT JOHN DAVANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
307 N. LINDSAY ST, HIGH POINT, NC 27262-4827
(336) 802-2020
(336) 802-2021
Mailing address
1701 WESTCHESTER DR, STE 850, HIGH POINT, NC 27262-7254
(336) 802-2400
(336) 802-2001
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
9801228
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180043411
RR MEDICARE
—
05
—
89130A8
—
NC
01
—
CB8658
RR GROUP
—
Enumeration date
06/15/2006
Last updated
06/25/2009
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