Davidson, Coleman Wade
Davidson, Coleman Wade is an individual health care provider with primary practice located at 5301 E Grant Rd , Tucson AZ 85712-2805. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Obstetrics is his primary health care specialty. Davidson, Coleman Wade can be contacted via phone (520) 795-8188.Contact Information
Primary practice address
5301 E Grant Rd
Tucson AZ 85712-2805
Phone: (520) 795-8188
Fax: (520) 325-0809
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 13613 | Tennessee |
Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | 53209 | Arizona |
Profile Details
NPI number | 1013910157 |
---|---|
LBN Legal business name | Davidson, Coleman Wade |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 23rd, 2005 |
Last updated | Sep 13th, 2021 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1013910157 | NPPES |
Arizona | MEDICAID | 254811 | |
Arizona | Other | 53209 |
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