Organization
THOMAS J DAVIDSON IV WNY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS J DAVIDSON IV DPM (DOCTOR OF PODIATRIC MEDICINE, OWNER)
(251) 747-4401
Entity
Organization
Contact information
Practice address
2700 SHERIDAN DR, TONAWANDA, NY 14150-9462
(251) 747-4401
Mailing address
2700 SHERIDAN DR, TONAWANDA, NY 14150-9462
(251) 747-4401
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
07/18/2023
Last updated
07/20/2023
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