Individual
ROBERT DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
100 15TH ST NW, NORTON, VA 24273-1616
(276) 679-3488
Mailing address
100 15TH ST NW, NORTON, VA 24273-1616
(276) 679-3488
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0102205021
VA
207R00000X
Internal Medicine Physician
0116028755
VA
Other
Enumeration date
08/17/2015
Last updated
08/11/2017
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