Individual provider · NPI-1

Richard Lee Davis, MD

Family Medicine · Enola, PA

NPI number1679533665
StatusActive
Last updated in NPPESAug 18, 2009

Details

NPI
1679533665
Entity type
Individual (NPI-1)
Name
Richard Lee Davis
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Mar 24, 2006
Last updated
Aug 18, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineMD032778EPAYes

Practice location

4470 Valley St
Enola, PA 17025-1443

Phone 717-732-8883 · Fax 717-732-1640

Mailing address

3 Walnut St
Suite 206
Lemoyne, PA 17043-1168

Phone 717-761-0208 · Fax 717-761-2023

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine providers in Enola, PA