Individual
ELIZABETH A DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6051 W EMERALD ST, BOISE, ID 83704-8969
(208) 302-5150
(208) 230-2051
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M-13502
ID
207P00000X
Emergency Medicine Physician
R1432
KY
207Q00000X
Family Medicine Physician
M-13502
ID
Other
Enumeration date
02/07/2008
Last updated
05/15/2024
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