Keith E Davis, M.D.

NPI #1043277635 in Shoshone, Idaho

Provider Information

NPI Number: 1043277635
Entity Type: Individual
Name: Keith E Davis, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Apr 27, 2006
Last Updated: Nov 15, 2010

Practice Location

Address: 113 S APPLE ST
City: Shoshone
State: Idaho
ZIP Code: 83352-5287
Phone: (208) 886-2224

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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