Healthcare Provider Details

I. General information

NPI: 1508859844
Provider Name (Legal Business Name): J.F. JAMES DAVIDSON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: JERE FRANK JAMES DAVIDSON MD

II. Dates (important events)

Enumeration Date: 08/23/2005
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10450 W MCDOWELL RD STE 102
AVONDALE AZ
85392-4802
US

IV. Provider business mailing address

PO BOX 80217
PHOENIX AZ
85060-0217
US

V. Phone/Fax

Practice location:
  • Phone: 623-846-7614
  • Fax: 623-846-0993
Mailing address:
  • Phone: 602-385-2115
  • Fax: 480-418-3323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number20065
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number20065
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: