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Individual

DR. DAVID S JEVSEVAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1115 BOULDERS PARKWAY, SUITE 100, NORTH CHESTERFIELD, VA 23225-4067
(804) 320-1339
Mailing address
P. O. BOX 715868, PHILADELPHIA, PA 19171-5868
(804) 329-9242

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101277088
VA
207X00000X
Orthopaedic Surgery Physician
16795
NH
207X00000X
Orthopaedic Surgery Physician
3215571205
UT

Other

Enumeration date
07/13/2006
Last updated
04/25/2023
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