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1174528897

NPI Code Detail

MEDICARE: ALLAN BERNARD DAVIDSON MD

MEDICARE: ALLAN BERNARD DAVIDSON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	27534	CO
2	207RS0012X	Sleep Medicine (Internal Medicine) Physician	27534	CO
3	207RP1001X	Pulmonary Disease Physician	27534	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174528897
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLAN BERNARD DAVIDSON MD

Provider Business Mailing Address
First Line	:	871 OXFORD LN
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80905-7905
Country	:	US
Telephone Number	:	719-635-7300
Fax Number	:	719-635-7300

Provider Business Practice Location Address
First Line	:	871 OXFORD LN
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80905-7905
Country	:	US
Telephone Number	:	719-635-7300
Fax Number	:	719-635-7300

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	04/23/2021

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Directions to “ ALLAN BERNARD DAVIDSON MD” Practice Location

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