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Individual

DR. PHILIP AARON DAVENPORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
301 RIVERVIEW AVE STE 202, NORFOLK, VA 23510-1065
(757) 252-9015
(757) 510-9041
Mailing address
301 RIVERVIEW AVE STE 202, NORFOLK, VA 23510-1065
(757) 252-9015
(757) 510-9041

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0101052402
VA
2084N0400X
Neurology Physician
2009-02034
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6104487
VA
Enumeration date
01/27/2006
Last updated
06/11/2024
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