Individual
BRYAN L DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 LINCOLN WAY, COEUR D ALENE, ID 83814-2537
(208) 625-4955
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-4000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-17139
ID
Other
Enumeration date
08/05/2008
Last updated
07/05/2023
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