John Howard Davidson, PA
NPI #1043480056 in Carbondale, Illinois
Provider Information
- NPI Number
- 1043480056
- Entity Type
- Individual
- Name
- John Howard Davidson, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Mar 5, 2008
- Last Updated
- Jan 11, 2021
Practice Location
- Address
- 405 W JACKSON ST
- City
- Carbondale
- State
- Illinois
- ZIP Code
- 62901-1462
- Phone
- (618) 549-0721
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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