JAMES RILEY DAVIDSON

TIPTON, IN
NPI1669419693
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: MT  12137)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: IN  01054498A)
207P00000X Emergency Medicine
(Licence: ID  M9214)
Enumeration Date2006-05-31
Last Update Date2014-01-27
Business Address
-- JAMES RILEY DAVIDSON M.D.
1000 S MAIN ST
TIPTON, IN 46072-9753
Phone number: 765-675-8391
Mailing Address
-- JAMES RILEY DAVIDSON M.D.
250 N SHADELAND AVE SUITE 130, PROVIDER ENROLLMENT
INDIANAPOLIS, IN 46219-4959
Phone number: