Coleman Wade Davidson Ii, MD | |
5301 E Grant Rd, Tucson, AZ 85712-2805 | |
(520) 795-8188 | |
(520) 325-0809 |
Full Name | Coleman Wade Davidson Ii |
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Gender | Male |
Speciality | Obstetrics & Gynecology - Obstetrics |
Location | 5301 E Grant Rd, Tucson, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013910157 | NPI | - | NPPES |
254811 | Medicaid | AZ | |
53209 | Other | AZ | AZ STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 13613 (Tennessee) | Secondary |
207VX0000X | Obstetrics & Gynecology - Obstetrics | 53209 (Arizona) | Primary |
Entity Name | Tennessee Women's Care, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578584199 PECOS PAC ID: 5092629006 Enrollment ID: O20031114000121 |
Entity Name | Saint Thomas Medical Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437194669 PECOS PAC ID: 1557269354 Enrollment ID: O20031230000470 |
Mailing Address | Practice Location Address |
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Coleman Wade Davidson Ii, MD Po Box 31235, Tucson, AZ 85751-1235 Ph: (520) 324-4100 | Coleman Wade Davidson Ii, MD 5301 E Grant Rd, Tucson, AZ 85712-2805 Ph: (520) 795-8188 |
Dr. Teresa Rene Worstell Safer, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3838 N Campbell Ave Bldg 2, Tucson, AZ 85719 Phone: 520-694-8888 | |
Stephanie Runke, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1501 N Campbell Ave, Tucson, AZ 85724 Phone: 520-694-2530 Fax: 520-694-2530 | |
Robert Samuelson, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 395 N Silverbell Rd Ste 355, Tucson, AZ 85745 Phone: 520-319-5000 Fax: 520-319-5112 | |
Richard W Langert, MD PC Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 6520 E Carondelet, Tucson, AZ 85710 Phone: 520-721-4745 Fax: 520-721-1932 | |
Mary Kay Durfee, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2171 W Orange Grove Rd, Tucson, AZ 85741 Phone: 520-877-3800 Fax: 520-877-3801 | |
Darren Housel, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 10350 E Drexel Rd Ste 260, Tucson, AZ 85747 Phone: 520-324-1727 Fax: 520-324-1700 |