| Gary M. Davidson, Md | |
|
207 Woodstown Hwy Hollsopple PA 15935-7119 | |
| (814) 479-4034 | |
| (814) 479-7166 |
| Full Name | Gary M. Davidson, Md |
|---|---|
| Speciality | Family Medicine |
| Location | 207 Woodstown Hwy, Hollsopple, Pennsylvania |
| Authorized Official Name and Position | Gary M Davidson (PHYSICIAN) |
| Authorized Official Contact | 8144794034 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary M. Davidson, Md 207 Woodstown Hwy Hollsopple PA 15935-7119 Ph: (814) 479-4034 | Gary M. Davidson, Md 207 Woodstown Hwy Hollsopple PA 15935-7119 Ph: (814) 479-4034 |
| NPI Number | 1750451381 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750451381 | NPI | - | NPPES |
| 0011635930006 | Medicaid | PA | |
| 444015 | Other | PA | HIGHMARK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD040789L (Pennsylvania) | Primary |
Dlp Conemaugh Physician Practices Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 207 Woodstown Hwy, Hollsopple, PA 15935 Phone: 814-479-4034 Fax: 814-479-7166 | |
Conemaugh Health Initiatives Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Woodstown Hwy, Hollsopple, PA 15935 Phone: 814-479-4034 Fax: 814-479-7166 |