Jerome Gary Davidson in San Bernardino - Hematology & Oncology
Jerome Gary Davidson - NPI 1114926490
Jerome Gary Davidson is a Hematology & Oncology in San Bernardino, California. Jerome Gary Davidson practices all healthcare services and medical treatments related to Hematology & Oncology. The NPI Number for Jerome Gary Davidson is 1114926490. The last update date is 2011-06-08.
Jerome Gary Davidson's current location address is Po Box 11307, San Bernardino, California. You can contact this provider via phone number 8187002336 and fax number 8187002337. The mailing address for Jerome Gary Davidson is Po Box 11307, San Bernardino, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerome Gary Davidson |
|---|---|
| Address | Po Box 11307, San Bernardino, California |
| Phone Number | 8187002336 |
| Fax Number | 8187002337 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1114926490 |
|---|---|
| Provider Enumeration Date | 2005-07-19 |
| Last Updated Date | 2011-06-08 |
Provider Mailing Address Detail
| Address | Po Box 11307 |
|---|---|
| City | San Bernardino |
| State | California (CA) |
| Post Code | 924231307 |
| Phone Number | 8187002336 |
| Fax Number | 8187002337 |
Provider's Primary Taxonomy Detail
| Speciality | Hematology & Oncology |
|---|---|
| Taxonomy | 207Rh0003X |
| Licence No | A22489 |
|
Definition: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to ob |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| OOA224890 | CA | -- | |
| 1114926490 | CA | -- | |
| 1902108293 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jerome Gary Davidson by the Centers for Medicare & Medicaid Services?
The Jerome Gary Davidson has been assigned the NPI (National Provider Identifier) 1114926490 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Jerome Gary Davidson is located?
The Jerome Gary Davidson is situated at the following address: Po Box 11307, San Bernardino, CA, 924231307.
What is Jerome Gary Davidson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jerome Gary Davidson is Hematology & Oncology, and the taxonomy code that categorizes this field of expertise is 207Rh0003X.
On what date did Jerome Gary Davidson receive its 1114926490 assignment from the Centers for Medicare & Medicaid Services?
The Jerome Gary Davidson was assigned its 1114926490 on 2005-07-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Jerome Gary Davidson most recently updated or revised?
The details related to Jerome Gary Davidson, including its address, specialty, and other relevant information, were last updated or revised on 2011-06-08.