Russell Alan Davis MD

NPI 1679504021 - Otolaryngology - 207Y00000X

NPI Details
NPI 1679504021
Gender Male
Enumeration Date 07/05/2006
Last Updated 04/19/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
104 DOCTORS PARK
GALAX VA, 24333-2276, US
Phone (276) 236-5161
Fax (276) 238-8071
Business Location
104 DOCTORS PARK
GALAX VA, 24333-2276, US
Phone (276) 236-5161
Fax (276) 783-3516
Toxanomy
Taxonomy Code 207Y00000X
License State Tennessee
License Number MD16361
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According to our database, Russell Alan Davis MD NPI is 1679504021, taxonomy code is 207Y00000X and license number is MD16361, license state is located at Tennessee. Russell Alan Davis MD physically located at 104 Doctors Park, Galax VA, 24333-2276. NPI Number Russell Alan Davis MD has the Individual type.

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1679504021 NPI number is provided on an as is basis without warranty of any kind. 1679504021 is maintained by the National Plan & Provider Enumeration System. The contents of Russell Alan Davis MD are for informational purposes only.