Individual
JAMES A DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
201 SOUTH LINCOLN, JEROME, ID 83338-2624
(208) 324-4363
(208) 324-8948
Mailing address
201 SOUTH LINCOLN, JEROME, ID 83338-2624
(208) 324-4363
(208) 324-8948
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP0912
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002457802
—
ID
Enumeration date
08/31/2006
Last updated
07/27/2010
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