Individual
STEVEN O DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
622 E MAIN ST, MIDDLETON, ID 83644-3080
(208) 585-9500
(208) 585-9497
Mailing address
622 E MAIN ST, MIDDLETON, ID 83644-3080
(208) 585-9500
(208) 585-9497
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
868
CO
152W00000X
Optometrist
Primary
ODP-100237
ID
Other
Enumeration date
06/30/2006
Last updated
07/13/2012
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