Michael Davidson is a Medical in Fort Polk, Louisiana. Michael Davidson practices all healthcare services and medical treatments related to Medical. The NPI Number for Michael Davidson is 1255480018. The last update date is 2021-05-12.
Michael Davidson's current location address is 1585 3rd St, Fort Polk, Louisiana. You can contact this provider via phone number 3375313517. The mailing address for Michael Davidson is 1585 3rd St, Fort Polk, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Davidson |
|---|---|
| Address | 1585 3rd St, Fort Polk, Louisiana |
| Phone Number | 3375313517 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1255480018 |
|---|---|
| Provider Enumeration Date | 2007-01-10 |
| Last Updated Date | 2021-05-12 |
Provider Mailing Address Detail
| Address | 1585 3rd St |
|---|---|
| City | Fort Polk |
| State | Louisiana (LA) |
| Post Code | 714595102 |
| Phone Number | 3375313517 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 1041591 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the Michael Davidson's 1255480018?
The Michael Davidson's NPI (National Provider Identifier) Number is 1255480018. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Michael Davidson's facilities are geographically located?
The facilities of Michael Davidson are physically situated at the following location: 1585 3Rd St, Fort Polk, LA, 714595102.
What is the area of specialization for Michael Davidson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Michael Davidson is Medical, and the corresponding taxonomy code that categorizes this area of expertise is 363Am0700X.
On what date was the 1255480018 assigned to Michael Davidson?
The Michael Davidson was issued its 1255480018 on 2007-01-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Michael Davidson last refreshed?
The information related to the Michael Davidson, including its address, specialty, and other relevant details, was last updated on 2021-05-12.