Organization
DAVIDSON MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALE BENJAMIN DAVIDSON III (OWNER)
(573) 881-1952
Entity
Organization
Contact information
Practice address
5011 THORNBROOK RDG, COLUMBIA, MO 65203-9085
(573) 881-1952
Mailing address
5011 THORNBROOK RDG, COLUMBIA, MO 65203-9085
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/09/2015
Last updated
09/11/2020
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