Individual
DR. SCOTT C DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17911
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110236860
RR MEDICARE
—
01
—
P00615489
RAILROAD MEDICARE ID-ROPER PRIOR TO 5/1/09
SC
01
—
P00727203
RAILROAD MC ID-RSFPP
SC
05
—
T79112
—
SC
Enumeration date
03/03/2006
Last updated
10/20/2015
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