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Individual

BRIAN MARTIN DAVIDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
205 S FRONT ST FL 6, HARRISBURG, PA 17104-1619
(717) 988-9370
Mailing address
205 S FRONT ST FL 6, HARRISBURG, PA 17104-1619
(717) 988-9370

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C0005709
MD
363A00000X
Physician Assistant
Primary
MA061366
PA

Other

Enumeration date
03/06/2015
Last updated
05/13/2024
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