NPI 1760898159 · live from the CMS NPI Registry
Gabriel Davidson, PA-C
Physician Assistant in Fargo, ND. National Provider Identifier 1760898159, active.
NPI record
| NPI | 1760898159 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 801 Broadway N, Fargo, ND 58102 |
| Practice phone | 701-234-2524 |
| Enumerated | July 7, 2014 |
| Last updated | December 28, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | PAC-0555 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.