Individual
DR. ROBERT W DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 E IDAHO ST, SUITE 302, BOISE, ID 83712-6267
(208) 345-5250
(208) 345-2364
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
M-3919
ID
207V00000X
Obstetrics & Gynecology Physician
Primary
M3919
ID
Other
Enumeration date
06/30/2006
Last updated
05/06/2019
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