Benton John Davidson in Salem - Clinical Neurophysiology
Benton John Davidson - NPI 1013944016
Benton John Davidson is a Clinical Neurophysiology in Salem, Oregon. Benton John Davidson practices all healthcare services and medical treatments related to Clinical Neurophysiology. The NPI Number for Benton John Davidson is 1013944016. The last update date is 2012-03-28.
Benton John Davidson's current location address is 1174 Cornucopia St Nw, Salem, Oregon. You can contact this provider via phone number 5033851664 and fax number 5039915768. The mailing address for Benton John Davidson is 1174 Cornucopia St Nw, Salem, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Benton John Davidson |
|---|---|
| Address | 1174 Cornucopia St Nw, Salem, Oregon |
| Phone Number | 5033851664 |
| Fax Number | 5039915768 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1013944016 |
|---|---|
| Provider Enumeration Date | 2006-06-26 |
| Last Updated Date | 2012-03-28 |
Provider Mailing Address Detail
| Address | 1174 Cornucopia St Nw |
|---|---|
| City | Salem |
| State | Oregon (OR) |
| Post Code | 973043193 |
| Phone Number | 5033851664 |
| Fax Number | 5039915768 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neurophysiology |
|---|---|
| Taxonomy | 2084N0600X |
| Licence No | MD21643 |
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Definition: Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 288103 | OR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Benton John Davidson by the Centers for Medicare & Medicaid Services (CMS)?
The Benton John Davidson has been assigned the NPI (National Provider Identifier) 1013944016. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Benton John Davidson is located?
The Benton John Davidson is situated at the following address: 1174 Cornucopia St Nw, Salem, OR, 973043193.
What is Benton John Davidson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Benton John Davidson's area of specialization is Clinical Neurophysiology, and the corresponding taxonomy code that categorizes this field of practice is 2084N0600X.
On what date did the Centers for Medicare & Medicaid Services assign the 1013944016 to Benton John Davidson?
The Centers for Medicare & Medicaid Services assigned the 1013944016 to Benton John Davidson on 2006-06-26.
When was the information regarding Benton John Davidson most recently updated?
The details pertaining to the Benton John Davidson, including its address, specialty, and other relevant information, were last refreshed on 2012-03-28.
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