Individual
SAMUEL THOMAS DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
Mailing address
2450 RIVERSIDE AVE # R200, MINNEAPOLIS, MN 55454-1450
(612) 273-8043
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101285440
VA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/23/2020
Last updated
06/05/2025
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