J DAVIDSON MD; NPI #1023476876

Contact Information

J DAVIDSON MD

1550 TUSCANO CT
HENDERSON, NV 89052-4142

Phone: 702-736-1200
Fax: 702-736-6538
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Point of Service	305S00000X

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NPI Profile & details for J DAVIDSON MD

NPI Number 1023476876

LBN Legal business name J DAVIDSON MD

Authorized official JOEL DAVIDSON - (PRES)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/09/2016

Last updated 02/09/2016 - About 10 years ago

Identifiers

License #

G89324

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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J DAVIDSON MD

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NPI Profile & details for J DAVIDSON MD

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