IndividualActive
Philip Davidson, MEDICAL DOCTOR
NPI 1528040367 · Sports Medicine (Orthopaedic Surgery) Physician · Park City, UT
Provider details
- NPI number
- 1528040367
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MEDICAL DOCTOR
- Sex
- Male
- Sole proprietor
- No
- License
- ME54865 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2200 Park Ave Bldg D
Ste 100
Park City, UT 84060-7246
Phone: (435) 615-8822
Fax: (435) 615-8823
Approximate (ZIP-level) locationGet directions
Mailing address
2200 Park Ave Bldg D
Park City, UT 84060-7246
Registry dates
- Enumerated
- 2005-11-17
- Last updated
- 2012-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.