NPI 1528040367 · live from the CMS NPI Registry
Philip A Davidson, MEDICAL DOCTOR
Orthopaedic Surgery, Sports Medicine in Park City, UT. National Provider Identifier 1528040367, active.
NPI record
| NPI | 1528040367 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery, Sports Medicine 207XX0005X |
| Practice location | 2200 Park Ave Bldg D, Ste 100, Park City, UT 84060 |
| Practice phone | 435-615-8822 |
| Enumerated | November 17, 2005 |
| Last updated | October 1, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery, Sports Medicine primary | 207XX0005X | ME54865 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.