Provider Demographics
NPI:1356322093
Name:DAVIDSON, JAMES ARTHUR (PA-C)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:ARTHUR
Last Name:DAVIDSON
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:PO BOX 56
Mailing Address - Street 2:606 CHERRY LN
Mailing Address - City:GRANDVIEW
Mailing Address - State:WA
Mailing Address - Zip Code:98930-0056
Mailing Address - Country:US
Mailing Address - Phone:509-882-1984
Mailing Address - Fax:509-882-1984
Practice Address - Street 1:1979 SNYDER ST
Practice Address - Street 2:STE 150
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99354-5319
Practice Address - Country:US
Practice Address - Phone:509-376-7763
Practice Address - Fax:509-376-0522
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-09
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAPA10001951363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical