Individual
CAMERON DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
921 S 8TH AVE, POCATELLO, ID 83209-0002
(208) 282-4636
Mailing address
1682 CALICO CIR, POCATELLO, ID 83201-7122
(208) 982-1078
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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