Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | DC31641 | DC |
N | 208600000X | Surgeon | DC31641 | DC |
Y | 2086S0122X | Plastic and Reconstructive Surgery | 31641 | DC |
NPI | 1003814062 |
---|---|
Provider Name | Dr. Steven Paul Davison |
First Address | Washington, DC 20016-3622 |
Second Address | Washington, DC 20016-3622 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2005 |
Last Update Date | 02/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F62281 | (02) |