Bryan Richard Davidson, PA-C
Physician Assistant in Rushville, IN. Individual provider (NPI-1).
NPI number1013580331
StatusActive
Last updated in NPPESFeb 17, 2025
Details
- NPI
- 1013580331
- Entity type
- Individual (NPI-1)
- Name
- Bryan Richard Davidson
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 23, 2021
- Certification date
- Feb 17, 2025
- Last updated
- Feb 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 10003308A | IN | Yes |
Practice location
110 E 13th StRushville, IN 46173-2126
Phone 765-932-7063 · Fax 765-932-7065
Mailing address
1300 N Main StRushville, IN 46173-1198
Phone 765-932-4111 · Fax 765-932-7505
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