Individual
JOSHUA BURTON DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3510 N. CAUSEWAY BLVD, METAIRIE, LA 70002
(504) 779-5515
Mailing address
PO BOX 1123, JACKSON, MI 49204-1123
(800) 242-1131
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN105603
LA
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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