Davidson, Randy

Davidson, Randy is an individual health care provider with primary practice located at 1311 N Mildred Rd , Cortez CO 81321. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Davidson, Randy can be contacted via phone (970) 565-6666.

Contact Information

Primary practice address
1311 N Mildred Rd Cortez CO 81321
Phone: (970) 565-6666
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 04-19213 Kansas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X DR.0053307 Colorado

Profile Details

NPI number 1922074624
LBN Legal business name Davidson, Randy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Nov 7th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922074624 NPPES
Colorado MEDICAID 48882275
Colorado MEDICAID 100146130B

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