Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL DAVIDSON, PA-C
Active Sole ProprietorMedical Physician Assistant · FORT POLK, LA
Registration Details
- NPI Number
- 1255480018
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 10, 2007 (19.27904978503 yrs)
- Last Updated
- May 12, 2021
- License
-
1041591
- Sole Proprietor
- Yes
Practice Information
- Address
-
1585 3RD STFORT POLK, LA, 714595102Browse LA providers · Browse ZIP 71459
- Phone
- 3375313517
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in FORT POLK, LA
| Name | Credential | NPI |
|---|---|---|
| MR. DENNIS MICHAEL SOSENKO | PA-C | 1992765101 |
| NIKKI MICSHAWN LEWIS | PA | 1730241167 |
| KELLY J MARCOUX | P.A.-C | 1477687952 |
| MRS. ANTQUALENE LAVETTE JOHNSON | PA-C | 1720346943 |
| JEFFREY D OLFERT | PA-C | 1700657855 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.