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NPI Code Detail

MEDICARE: ALAN N DAVIDSON DO

MEDICARE: ALAN N DAVIDSON DO
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
1207Q00000XFamily Medicine Physician05-24224KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245339126
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALAN N DAVIDSON DO
Provider Business Mailing Address
First Line : 2101 N WALDRON ST
Second Line :
City : HUTCHINSON
State : KS
Zip : 67502-1131
Country : US
Telephone Number : 620-669-6690
Fax Number : 620-669-6751
Provider Business Practice Location Address
First Line : 1100 N MAIN ST
Second Line :
City : HUTCHINSON
State : KS
Zip : 67501-4406
Country : US
Telephone Number : 620-669-6690
Fax Number : 620-669-6751
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2006
Last Update Date : 09/18/2023

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Directions to “ ALAN N DAVIDSON DO” Practice Location

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