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Douglas W Davidson
General Practice Physician in Baton Rouge, Louisiana
NPI 1982790697

Douglas W Davidson is a General Practice Physician based in Baton Rouge, LA. Douglas W Davidson practices in Baton Rouge, LA. The NPI Number for Douglas W Davidson is 1982790697 and holds a License No. 010156 (Louisiana).

The current practice location address for Douglas W Davidson is 12525 Perkins Road, Baton Rouge, LA and can be reached out via phone at 225-819-8857 and via fax at 225-767-6822. You can also correspond with Douglas W Davidson through the mailing address at 7777 HENNESSY BLVD, BATON ROUGE, LA - 70808 (mailing address contact number: 225-214-9352).

Location: 12525 Perkins Road, Baton Rouge, LA, 70808
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Provider Profile Details
NPI Number
1982790697
Provider Name
Douglas W Davidson
Credential
Provider Entity Type
Individual
Gender
Male
Address
12525 Perkins Road, Baton Rouge, LA, 70808
Phone Number
225-819-8857
Fax Number
225-767-6822
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00392505 01 LA RRM
1098299 05 LA
institution
Provider Business Practice Location Address Details
Address
12525 Perkins Road
City
State
Zip
70810
Phone Number
225-819-8857
Fax Number
225-767-6822
person
Provider Business Mailing Address Details
Address
7777 Hennessy Blvd
City
State
Zip
70808
Phone Number
225-214-9352
Fax Number
225-214-9349
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Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
010156 (Louisiana)
Definition
Definition to come...
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