Provider Demographics
NPI:1700647500
Name:CURTIS, DAVON M (PST)
Entity Type:Individual
Prefix:MR
First Name:DAVON
Middle Name:M
Last Name:CURTIS
Suffix:
Gender:M
Credentials:PST
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4250 FAIRFAX DR STE 600
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22203-1665
Mailing Address - Country:US
Mailing Address - Phone:240-203-6968
Mailing Address - Fax:
Practice Address - Street 1:4250 FAIRFAX DR STE 600
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-1665
Practice Address - Country:US
Practice Address - Phone:240-203-6968
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-18
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy