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John Davidson, PA
NPI 1043480056 · on the registry since 2008
Practice
- Address
- 405 W Jackson St
Carbondale, IL 62901 - Phone
- (618) 549-0721
- Fax
- (618) 457-0469
- Organisation at this address
- Brigham Anesthesia South Llc
River2 Emergency Physicians Llp
Memorial Hospital Of Carbondale
Southern Illinois Hospital Services
Midwest Regional Neonatology Associates, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 161
Additional practice sites
- 16091 Swingley Ridge Rd, Chesterfield, MO
- 201 S 14th St, Herrin, IL
- 2 S Hospital Dr, Murphysboro, IL
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Physician Assistant
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-01-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois