Individual
RISA DANIELLE DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
12740 MEETING HOUSE RD, CARMEL, IN 46032-7292
(317) 343-8844
(540) 274-8548
Mailing address
12740 MEETING HOUSE RD, CARMEL, IN 46032-7292
(317) 343-8844
(540) 274-8548
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
02003938A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201067930
—
IN
01
—
P01456972
RR MEDICARE
IN
Enumeration date
05/28/2009
Last updated
04/17/2023
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