Individual
MRS. ELAINE M. DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2840 S MERIDIAN RD, MERIDIAN, ID 83642-7960
(208) 593-6393
(208) 593-6402
Mailing address
2840 S MERIDIAN RD, MERIDIAN, ID 83642-7960
(208) 593-6393
(208) 593-6402
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M5546
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010150633
BLUE SHIELD
ID
05
—
003656100
—
ID
01
—
74526
BLUE CROSS
ID
Enumeration date
10/21/2005
Last updated
09/09/2025
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