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Dr. Philip A Davidson, MEDICAL DOCTOR

Orthopaedic Surgery, Sports Medicine in Park City, UT. Individual provider (NPI-1).

NPI number1528040367
StatusActive
Last updated in NPPESOct 1, 2012

Details

NPI
1528040367
Entity type
Individual (NPI-1)
Name
Dr. Philip A Davidson
Credential
MEDICAL DOCTOR
Sex
Male
Sole proprietor
No
Enumeration date
Nov 17, 2005
Last updated
Oct 1, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207XX0005X Orthopaedic Surgery, Sports MedicineME54865FLYes

Practice location

2200 Park Ave Bldg D
Ste 100
Park City, UT 84060-7246

Phone 435-615-8822 · Fax 435-615-8823

Mailing address

2200 Park Ave Bldg D
Ste 100
Park City, UT 84060-7246

Phone 435-615-8822 · Fax 435-615-8823

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Other Sports Medicine (Orthopaedic Surgery) Physician providers in Park City, UT

All 7 Sports Medicine (Orthopaedic Surgery) Physician providers in Park City · All 891 providers in Park City

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