Individual
DR. ADRIAN THOMAS DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
229 S 7TH ST FL 4, ST MARIES, ID 83861-1803
(208) 245-7629
(208) 245-5246
Mailing address
229 S 7TH ST, ST MARIES, ID 83861-1803
(208) 245-5551
(208) 245-5246
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
M-17908
ID
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
M-17908
ID
Other
Enumeration date
07/31/2008
Last updated
11/11/2024
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