Marcus Ryan Davidson, PA-C Valid NPI

Individual provider · Physician Assistant · Lafayette, LA

NPI

1962942839

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

309327 (LA)

Sex

Male

Sole proprietor

No

Enumerated

2017-02-27

Last updated

2019-07-22