Individual
CHRISTOPHER J DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2003 KOOTENAI HEALTH WAY STE 300, COEUR D ALENE, ID 83814-6051
(208) 625-4120
(208) 625-4121
Mailing address
2003 KOOTENAI HEALTH WAY STE 300, COEUR D ALENE, ID 83814-6051
(208) 625-4120
(208) 625-4121
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA-2254
ID
363A00000X
Physician Assistant
PA213714
OR
363A00000X
Physician Assistant
PA61013600
WA
363AS0400X
Surgical Physician Assistant
Primary
PA21747
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA21747
PA LICENSE
CA
Enumeration date
09/12/2011
Last updated
12/08/2025
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