Organization
MICHAEL J. DAVIDSON, O.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DAVIDSON O.D. (PRESIDENT/OWNER)
(703) 569-6363
Entity
Organization
Contact information
Practice address
8350 TRAFORD LN, FL 2, SPRINGFIELD, VA 22152-1664
(703) 569-6363
(703) 569-3536
Mailing address
8350 TRAFORD LN, FL 2, SPRINGFIELD, VA 22152-1664
(703) 569-6363
(703) 569-3536
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0618000035
VA
Other
Enumeration date
10/01/2008
Last updated
10/01/2008
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