Individual
DR. JACOB PATRICK DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1250 E MARSHALL ST, RICHMOND, VA 23298-5023
(804) 828-6600
(804) 828-6129
Mailing address
1200 E BROAD ST # 980470, RICHMOND, VA 23298-5025
(804) 828-6600
(804) 828-6129
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
0101271207
VA
2085R0202X
Diagnostic Radiology Physician
0101271207
VA
Other
Enumeration date
05/31/2019
Last updated
07/23/2024
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