Individual
DAVID DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
300 MAIN ST, LEWISTON, ME 04240-7007
(207) 795-5709
Mailing address
300 MAIN ST, LEWISTON, ME 04240-7007
(207) 795-5709
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-423
ME
Other
Enumeration date
02/06/2006
Last updated
02/25/2010
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