Individual
ABBY DAVIDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6565 W EMERALD ST, BOISE, ID 83704-8737
(208) 514-2510
(208) 375-2217
Mailing address
777 N RAYMOND ST, BOISE, ID 83704-9251
(208) 514-2500
(208) 375-2217
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
248510
MA
207Q00000X
Family Medicine Physician
Primary
M-12366
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780970491
—
ID
Enumeration date
06/21/2011
Last updated
12/15/2023
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