person
Cory Bennett Davidson, PA-C
Medical Physician Assistant in Erie, Pennsylvania
NPI 1235389412

Cory Bennett Davidson is a Medical Physician Assistant based in Erie, PA and is specialized in Medical. Cory Bennett Davidson practices in Erie, PA and has the professional credentials of PA-C. The NPI Number for Cory Bennett Davidson is 1235389412 and holds a License No. MA053612 (Pennsylvania).

The current practice location address for Cory Bennett Davidson is 3822 Colonial Ave Ste C, Erie, PA and can be reached out via phone at 814-616-0321 and via fax at 814-528-5643. You can also correspond with Cory Bennett Davidson through the mailing address at 3822 COLONIAL AVE STE C, ERIE, PA - 16506-3826 (mailing address contact number: 814-616-0321).

Location: 3822 Colonial Ave Ste C, Erie, PA, 16506-3826
person
Provider Profile Details
NPI Number
1235389412
Provider Name
Cory Bennett Davidson
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
3822 Colonial Ave Ste C, Erie, PA, 16506-3826
Phone Number
814-616-0321
Fax Number
814-528-5643
Provider Enumeration Date
09/24/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MA053612 01 PA LICENSE
institution
Provider Business Practice Location Address Details
Address
3822 Colonial Ave Ste C
City
State
Zip
16506-3826
Phone Number
814-616-0321
Fax Number
814-528-5643
person
Provider Business Mailing Address Details
Address
3822 Colonial Ave Ste C
City
State
Zip
16506-3826
Phone Number
814-616-0321
Fax Number
814-528-5643
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
MA053612 (Pennsylvania)
Definition
Definition to come...
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