Elizabeth A Davis, MD
Emergency Medicine in Boise, ID. Individual provider (NPI-1).
NPI number1801074232
StatusActive
Last updated in NPPESMay 15, 2024
Details
- NPI
- 1801074232
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth A Davis
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 7, 2008
- Certification date
- May 15, 2024
- Last updated
- May 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | M-13502 | ID | Yes |
| 207P00000X | Emergency Medicine | R1432 | KY | |
| 207Q00000X | Family Medicine | M-13502 | ID |
Practice location
6051 W Emerald StBoise, ID 83704-8969
Phone 208-302-5150 · Fax 208-230-2051
Mailing address
Po Box 190930Boise, ID 83719-0930
Phone 208-367-5170 · Fax 208-367-5180
Other practice locations
215 E Hawaii Ave
Nampa, ID 83686-6011
Nampa, ID 83686-6011
Phone 208-463-3000 · Fax 208-463-3064
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