Individual
MAURICE DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7560 E PLACITA VENTANA HAYES, TUCSON, AZ 85750-6269
(520) 299-1159
Mailing address
7560 E PLACITA VENTANA HAYES, TUCSON, AZ 85750-6269
(520) 299-1159
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1819
AZ
2085R0202X
Diagnostic Radiology Physician
20A4212
CA
2085R0202X
Diagnostic Radiology Physician
5101005349
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
224444
—
AZ
Enumeration date
01/18/2007
Last updated
04/02/2008
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