Individual provider · Type 1 NPI

John Howard Davidson, PA

Physician Assistant · Carbondale, IL

NPI number 1043480056 Active

Practice location

405 W Jackson St
Carbondale, IL 62901-1462

Call (618) 549-0721 Map

Fax (618) 457-0469

Mailing address

16091 Swingley Ridge Rd, Suite #100
Chesterfield, MO 63017-2056

Other practice locations

  • 16091 Swingley Ridge Rd, Suite #100, Chesterfield, MO 63017-2056 · (636) 728-2200
  • 201 S 14th St, Herrin, IL 62948-3631 · (618) 942-2171
  • 2 S Hospital Dr, Murphysboro, IL 62966-3333 · (618) 684-3156

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Physician Assistant Primary 363A00000X085001572 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1043480056

John Howard Davidson, PA's National Provider Identifier is 1043480056, issued on Mar 5, 2008. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Carbondale, IL. The record was last updated on Jan 11, 2021.