Organization
MARK E. DAVIOSN DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK E DAVISON MD (OWNER)
(814) 237-2204
Entity
Organization
Contact information
Practice address
315 S ALLEN ST, SUITE 118, STATE COLLEGE, PA 16801-4849
(814) 237-2204
(814) 237-9611
Mailing address
315 S ALLEN ST, SUITE 118, STATE COLLEGE, PA 16801-4849
(814) 237-2204
(814) 237-9611
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
—
—
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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