MR. Jerry Gale Davidson, P.A.

NPI #1790928935 in Hobart, Oklahoma

Provider Information

NPI Number: 1790928935
Entity Type: Individual
Name: MR. Jerry Gale Davidson, P.A.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Apr 17, 2009
Last Updated: Apr 17, 2009

Practice Location

Address: 429 W ELM ST
City: Hobart
State: Oklahoma
ZIP Code: 73651-1615
Phone: (580) 726-3324

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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