Individual
JACOB STEPHEN DAVISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3016 E 57TH AVE STE 27, SPOKANE, WA 99223-7036
(509) 342-3300
(509) 342-3331
Mailing address
3016 E 57TH AVE STE 27, SPOKANE, WA 99223-7036
(509) 342-3300
(509) 342-3331
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
OR
Other
Enumeration date
08/24/2018
Last updated
04/20/2023
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