Bronson, Davis L

Bronson, Davis L is an individual health care provider with primary practice located at 6101 Summitview Ave Suite 200, Yakima WA 98908-3048. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Bronson, Davis L can be contacted via phone (509) 573-3530.

Contact Information

Primary practice address
6101 Summitview Ave Suite 200 Yakima WA 98908-3048
Phone: (509) 573-3530
Fax: (509) 573-3535
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 2002029450 Missouri

Profile Details

NPI number 1154367324
LBN Legal business name Bronson, Davis L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Nov 4th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154367324 NPPES
Oklahoma MEDICAID 200000520A
Oklahoma Other 240007925
Oklahoma MEDICAID 100430470A
Oklahoma Other 166067
Oklahoma MEDICAID 205970908

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