Robert L. Davidson, M.D. Pllc

LBN: Robert L. Davidson, M.D. Pllc
Robert L. Davidson, M.D. Pllc is an health care organization with primary practice located at 520 S Eagle Rd Suite 1245, Meridian ID 83642-6351. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Robert L. Davidson, M.D. Pllc can be contacted via phone (208) 890-2539, or through Davidson, Robert Lantz via phone (208) 890-9539.

Contact Information

Primary practice address
520 S Eagle Rd Suite 1245 Meridian ID 83642-6351
Phone: (208) 890-2539
Fax: (208) 939-2698
Website:
Map and Directions
Authorized official contact:
Name: Davidson, Robert Lantz Doctor of Medicine (MD)
Phone: (208) 890-9539

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X M7907 Idaho

Profile Details

NPI number 1124357645
LBN Legal business name Robert L. Davidson, M.D. Pllc
DBA Doing business as
Authorized official Davidson, Robert Lantz Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2009
Last updated Dec 11th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124357645 NPPES
Idaho MEDICAID 003661400

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