Individual
DAN BERRY DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1888 HUDSON CIR, STE 2, MONROE, LA 71201-3546
(318) 387-3453
(318) 323-9045
Mailing address
1888 HUDSON CIR, STE 2, MONROE, LA 71201-3546
(318) 387-3453
(318) 323-9045
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
07372R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117091001
—
AR
05
—
1397083
—
LA
01
—
300134864
RAILROAD MEDICARE
LA
Enumeration date
06/30/2006
Last updated
04/12/2016
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