Cameron Gregory Davis

NPI #1174284871 in Caldwell, Idaho

Provider Information

NPI Number: 1174284871
Entity Type: Individual
Name: Cameron Gregory Davis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: Jan 4, 2022
Last Updated: Feb 4, 2022

Practice Location

Address: 315 E ELM ST STE 100
City: Caldwell
State: Idaho
ZIP Code: 83605-4858
Phone: (208) 302-7150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Physician Assistant	363A00000X	Primary

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