Individual provider · Type 1 NPI
Bolivia Davis, MD
Diagnostic Radiology Physician · La Plata, MD
NPI number
1073584413
Active
Practice location
5 Garrett Ave, Dept Of Radiology
La Plata, MD 20646-5960
Mailing address
22 S Greene St, Dept Of Radiology
Baltimore, MD 21201-1544
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neuroradiology Physician | 2085N0700X | D0043096 (MD) |
| Diagnostic Radiology Physician Primary | 2085R0202X | D0043096 (MD) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
2 other providers at this address
Other diagnostic radiology physician providers in La Plata
About NPI 1073584413
Bolivia Davis, MD's National Provider Identifier is 1073584413, issued on Feb 1, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in La Plata, MD. The record was last updated on Apr 24, 2019.