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Individual
DR. DENNIS O DAVIDSON
Active
Individual
DR. DENNIS O DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C4467
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13600000000
QUAL CHOICE
AR
01
—
1670586
UNITED HEALTHCARE
AR
Enumeration date
07/05/2005
Last updated
04/18/2008
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