Michael Davidson, PA-C

NPI #1255480018 in Fort Polk, Louisiana

Provider Information

NPI Number
1255480018
Entity Type
Individual
Name
Michael Davidson, PA-C
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Jan 10, 2007
Last Updated
May 12, 2021

Practice Location

Address
1585 3RD ST
ZIP Code
71459-5102
Phone
(337) 531-3517

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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