Doctor Name: | DR. RICHARD ALLEN DAVIS |
NPI Number: | 1306004338 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD005500E |
Business Practice Address: | 1238 Meadowbank Rd Villanova, PA - 19085 |
Business Phone Number: | 6105253661 |
Business Fax Number: | |
Mailing Address: | 1238 Meadowbank Rd, VILLANOVA |
State: | PA |
Postal Code: | 190852106 |
Phone Number: | 6105253661 |
Fax Number: | |
NPI Enumeration Date: | 05/27/2008 |
NPI Last Update Date: | 05/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | MD005500E |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |