Male or Other

Jason D. Davidson OPA-C, OTC

Surgical Technologist in Birmingham, AL(View on Map)

Full Name

Jason D Davidson OPA-C, OTC

NPI Number

1558412478

NPI Type

Individual Provider

Gender

Male

Enumeration Date

01/16/2007

Specialties

(Taxonomies)

Code

246ZS0410X

Primary Taxonomy

Yes

Licenses

State

Alabama

License Number

00-0011

Contact
Information

Purpose

Mailing
Location

Address

880 MONTCLAIR RD
880 MONTCLAIR RD

City

Birmingham
Birmingham

State

AL
AL

Postal Code

35213-1972
35213-1972

Country

US
US

Telephone Number

(205) 595-6757
(205) 595-6757

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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