Individual
DR. BRADLEY KENNETH DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 S LINCOLN AVE, LEBANON, PA 17042-7529
(717) 272-6621
(717) 228-6031
Mailing address
14 OLD ENGLISH LN, ELIZABETHTOWN, PA 17022-1251
(717) 272-6621
(717) 228-6031
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD 060421L
PA
Other
Enumeration date
09/27/2006
Last updated
07/09/2007
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