Individual
DR. MARK ELLISON DAVISON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
315 S ALLEN ST, SUITE 118, STATE COLLEGE, PA 16801-4849
(814) 237-2204
(814) 237-9611
Mailing address
315 S ALLEN ST, SUITE 118, STATE COLLEGE, PA 16801-4849
(814) 237-2204
(814) 237-9611
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC002529L
PA
Other
Enumeration date
05/02/2006
Last updated
07/08/2007
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