MICHAEL DAVIDSON

FORT POLK, LA
NPI1255480018
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence:   1041591)
Enumeration Date2007-01-10
Last Update Date2021-05-12
Business Address
MICHAEL DAVIDSON PA-C
1585 3RD ST
FORT POLK, LA 71459-5102
Phone number: 337-531-3517
Mailing Address
MICHAEL DAVIDSON PA-C
1776 POLK ST APT 1917
HOLLYWOOD, FL 33020-4776
Phone number: 210-819-9648
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