Individual
DR. LARRY STEVE DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
9400460
NC
207T00000X
Neurological Surgery Physician
Primary
MD16408
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891273N
—
NC
05
—
N00460
—
SC
01
—
P00404250
RAILROAD MEDICARE
—
01
—
P01616429
RR MEDICARE
SC
Enumeration date
03/23/2006
Last updated
04/19/2016
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