Individual
TODD L DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1455 BATTERSBY AVE, ENUMCLAW, WA 98022-3634
(406) 579-6860
Mailing address
7502 SNOWBERRY AVE SE, SNOQUALMIE, WA 98065-8978
(406) 579-6860
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD60217471
WA
Other
Enumeration date
06/27/2008
Last updated
12/02/2011
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