Organization
STEPHEN V. DAVIS, M.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY ANN RICE (OFC MGR/CORPORATE SECRETARY)
(434) 799-0090
Entity
Organization
Contact information
Practice address
200 DEER RUN RD, DANVILLE, VA 24540-2866
(434) 799-0090
(434) 799-0098
Mailing address
200 DEER RUN RD, DANVILLE, VA 24540-2866
(434) 799-0090
(434) 799-0098
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01010382033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174610
ANTHEM BLUE CROSS
VA
Enumeration date
10/24/2007
Last updated
10/26/2007
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