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Individual

DR. DAVIS T KATSEANES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
520 S EAGLE RD, STE 2110, MERIDIAN, ID 83642-6351
(208) 706-3220
Mailing address
520 S EAGLE RD, MERIDIAN, ID 83642-6351
(208) 706-3220

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2010017738
MO
207V00000X
Obstetrics & Gynecology Physician
Primary
M-13098
ID
207V00000X
Obstetrics & Gynecology Physician
MD60444120
WA

Other

Enumeration date
06/28/2010
Last updated
06/28/2016
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