| Doctor Name: | MICHAEL S DAVIDOV |
| NPI Number: | 1609959857 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MD00034406 |
| Business Practice Address: | 34509 9th Avenue South #207 Federal Way, WA - 98003 |
| Business Phone Number: | 2538159595 |
| Business Fax Number: | 2538159797 |
| Mailing Address: | 34509 9th Avenue South, #207 FEDERAL WAY |
| State: | WA |
| Postal Code: | 98003 |
| Phone Number: | 2538159595 |
| Fax Number: | 2538159797 |
| NPI Enumeration Date: | 10/23/2006 |
| NPI Last Update Date: | 05/18/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD00034406 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |