Individual
COLEMAN WADE DAVIDSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5301 E GRANT RD, TUCSON, AZ 85712-2805
(520) 795-8188
(520) 325-0809
Mailing address
PO BOX 31235, TUCSON, AZ 85751-1235
(520) 324-4100
(520) 324-1406
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
13613
TN
207VX0000X
Obstetrics Physician
Primary
53209
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254811
—
AZ
01
—
53209
AZ STATE LICENSE
AZ
Enumeration date
05/23/2005
Last updated
09/13/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us