Individual
ROBERT FREDERICK DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
10418
NH
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
10418
NH
207XX0801X
Orthopaedic Trauma Physician
10418
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022104490001
—
PA
01
—
50080215
BLUE CROSS
PA
Enumeration date
04/03/2006
Last updated
10/07/2011
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