Individual
DAVID AXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4512 KIRKWOOD HWY, SUITE 202, WILMINGTON, DE 19808-5123
(302) 993-2453
(302) 993-1393
Mailing address
PO BOX 5930, WILMINGTON, DE 19808-0930
(302) 993-2453
(302) 993-1393
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
C10002545
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000126501
—
DE
Enumeration date
06/12/2006
Last updated
06/23/2009
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