Keith E Davis M.D.

NPI 1043277635 - Family Medicine - 207Q00000X

NPI Details
NPI 1043277635
Gender Male
Enumeration Date 04/27/2006
Last Updated 11/15/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
SHOSHONE ID, 83352-5287, US
Phone (208) 886-2224
Fax (208) 886-2634
Business Location
113 S. APPLE ST.
PO BOX 609
SHOSHONE ID, 83352-0609, US
Phone (208) 886-2224
Fax (208) 886-2634
Taxonomy Code 207Q00000X
License State Idaho
License Number M4888
Remove 1043277635 NPI Number

According to our database, Keith E Davis M.D. NPI is 1043277635, taxonomy code is 207Q00000X and license number is M4888, license state is located at Idaho. Keith E Davis M.D. physically located at 113 S Apple St, Shoshone ID, 83352-5287. NPI Number Keith E Davis M.D. has the Individual type.

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1043277635 NPI number is provided on an as is basis without warranty of any kind. 1043277635 is maintained by the National Plan & Provider Enumeration System. The contents of Keith E Davis M.D. are for informational purposes only.