Individual
CAMERON GREGORY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 E ELM ST STE 100, CALDWELL, ID 83605-4858
(208) 302-7150
Mailing address
3340 E GOLDSTONE DR, MERIDIAN, ID 83642-1026
(208) 302-9342
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-2214
ID
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
01/04/2022
Last updated
02/04/2022
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