Individual
DR. RANDY DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1311 N MILDRED RD, CORTEZ, CO 81321
(970) 565-6666
Mailing address
1311 N MILDRED RD, CORTEZ, CO 81321-2231
(970) 564-2152
(970) 564-2155
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
04-19213
KS
207P00000X
Emergency Medicine Physician
Primary
DR.0053307
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100146130B
—
KS
05
—
48882275
—
CO
Enumeration date
02/23/2006
Last updated
11/07/2019
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