SearchOklahoma363A00000X

Jerry Davidson, P.A

NPI 1790928935 · on the registry since 2009 · sole proprietor

Practice

Address
429 W Elm St
Hobart, OK 73651
Phone
(580) 726-3324
Organisation at this address
Elkview Physician Group
Kiowa County Hospital Authority
Kiowa County Hospital Authority
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-04-17

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 Oklahoma