Robert L. Davidson, M.d. Pllc

NPI 1124357645 - Internal Medicine - 207RN0300X

NPI Details
NPI 1124357645
Enumeration Date 12/11/2009
Last Updated 12/11/2009
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name ROBERT LANTZ ROBERT
Position PHYSICIAN OWNER
Phone (208) 890-2539
Fax (208) 939-2698
Practice Location
520 S EAGLE RD
SUITE 1245
MERIDIAN ID, 83642-6351, US
Phone (208) 890-2539
Fax (208) 939-2698
Business Location
13601 W MCMILLAN RD
SUITE 102-311
BOISE ID, 83713-2071, US
Phone (208) 890-2539
Fax (208) 939-2698
Toxanomy
Taxonomy Code 207RN0300X
License State Idaho
License Number M7907
Remove 1124357645 NPI Number
 

According to our database, Robert L. Davidson, M.d. Pllc NPI is 1124357645, taxonomy code is 207RN0300X and license number is M7907, license state is located at Idaho. Robert L. Davidson, M.d. Pllc physically located at 520 S Eagle Rd, Meridian ID, 83642-6351. NPI Number 1033115704 has the healthcare provider type.

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1124357645 NPI number is provided on an as is basis without warranty of any kind. 1124357645 is maintained by the National Plan & Provider Enumeration System. The contents of Robert L. Davidson, M.d. Pllc are for informational purposes only.