Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | CPO04358 | DC |
N | 222Z00000X | Podiatrist | CPO04358 | DC |
Y | 224P00000X | Prosthetist | CPO04358 | DC |
NPI | 1437740412 |
---|---|
Provider Name | Mr. Austin Grant Davids |
First Address | Washington, DC 20010-2921 |
Second Address | Washington, DC 20010-2921 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2021 |
Last Update Date | 01/02/2021 |