Robert J Davidson, M.D. Valid NPI

Individual provider · Family Medicine Physician · Pinckneyville, IL

NPI

1790774826

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

36-079086 (IL)

Sex

Male

Sole proprietor

Yes

Enumerated

2005-10-20

Last updated

2013-12-20