Organization
J DAVIDSON MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL DAVIDSON MD (PRES)
(702) 736-1200
Entity
Organization
Contact information
Practice address
1550 TUSCANO CT, HENDERSON, NV 89052-4142
(702) 736-1200
(702) 736-6538
Mailing address
1550 TUSCANO CT, HENDERSON, NV 89052-4142
(702) 736-1200
(702) 736-6538
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
G89324
CA
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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