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Individual
SCOTT R DAVISON
Active
Individual
SCOTT R DAVISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
MD-43189
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255770145
—
IA
Enumeration date
06/24/2013
Last updated
06/03/2024
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