MR. Douglas Joel Davidson
NPI #1770672842 in Moscow, Idaho
Provider Information
- NPI Number
- 1770672842
- Entity Type
- Individual
- Name
- MR. Douglas Joel Davidson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Oct 12, 2006
- Last Updated
- Nov 29, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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