Glenn Davis MD

NPI 1083724512 - Ophthalmology - 207W00000X

NPI Details
NPI 1083724512
Gender Male
Enumeration Date 08/30/2006
Last Updated 10/11/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
1510 BOB WHITE BLVD
PULASKI VA, 24301-4406, US
Phone (540) 980-1965
Fax (540) 980-0032
Business Location
1510 BOB WHITE BLVD
PULASKI VA, 24301-4406, US
Phone (540) 980-1965
Fax (540) 980-0032
Toxanomy
Taxonomy Code 207W00000X
License State Virginia
License Number 0101036189
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According to our database, Glenn Davis MD NPI is 1083724512, taxonomy code is 207W00000X and license number is 0101036189, license state is located at Virginia. Glenn Davis MD physically located at 1510 Bob White Blvd, Pulaski VA, 24301-4406. NPI Number Glenn Davis MD has the Individual type.

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1083724512 NPI number is provided on an as is basis without warranty of any kind. 1083724512 is maintained by the National Plan & Provider Enumeration System. The contents of Glenn Davis MD are for informational purposes only.