Individual
BRYAN RICHARD DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
110 E 13TH ST, RUSHVILLE, IN 46173-2126
(765) 932-7063
(765) 932-7065
Mailing address
1300 N MAIN ST, RUSHVILLE, IN 46173-1198
(765) 932-4111
(765) 932-7505
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003308A
IN
Other
Enumeration date
07/23/2021
Last updated
02/17/2025
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