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Tara Marie Davidson, MD

Internal Medicine in Boise, ID. Individual provider (NPI-1).

NPI number1164085452
StatusActive
Last updated in NPPESSep 11, 2025

Details

NPI
1164085452
Entity type
Individual (NPI-1)
Name
Tara Marie Davidson
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Apr 22, 2019
Certification date
Sep 11, 2025
Last updated
Sep 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineU2470TXYes
207R00000X Internal Medicine67727MN
207RX0202X Internal Medicine, Medical Oncology7271557ID
207R00000X Internal Medicine30238MN

Practice location

100 E Idaho St
Boise, ID 83712-6267

Phone 208-381-2711 · Fax 208-381-4025

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice locations

3884 S Morningwind Ave
Boise, ID 83706-5900

Phone 208-761-0263

200 1st St Sw
Rochester, MN 55905-0002

Phone 507-284-2511

1515 Holcombe Blvd
Houston, TX 77030-4000

Phone 713-792-6161

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