Organization
JAMES A DAVIDSON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES A DAVIDSON MD (OWNERPHYSICIAN)
(913) 451-7350
Entity
Organization
Contact information
Practice address
5701 W 119 ST, SUITE 220, OVERLAND PARK, KS 66209-3722
(913) 451-7350
(913) 345-2339
Mailing address
5701 W 119 ST, SUITE 220, OVERLAND PARK, KS 66209-3722
(913) 451-7350
(913) 345-2339
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0424350
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100158020A
—
KS
01
—
16268020
BLUECROSSBLUESHIELD
—
01
—
19438017
BLUECROSSBLUESHIELD
—
05
—
203025408
—
MO
Enumeration date
02/09/2007
Last updated
02/17/2010
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