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Individual

VANDA L DAVIDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
201 4TH ST, SUITE 2B, ALEXANDRIA, LA 71301-8421
(318) 443-4514
Mailing address
201 4TH ST, BOX 30102, ALEXANDRIA, LA 71301-8421
(318) 443-4514

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
012793
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1307904
LA
Enumeration date
08/18/2005
Last updated
01/15/2008
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