Shelley Leilani Davis, P.A.-C

NPI #1235568742 in Idaho Falls, Idaho

Provider Information

NPI Number
1235568742
Entity Type
Individual
Name
Shelley Leilani Davis, P.A.-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
P.A.-C
Enumeration Date
Nov 5, 2013
Last Updated
Nov 5, 2013

Practice Location

Address
3614 WASHINGTON PKWY
State
Idaho
ZIP Code
83404-7573
Phone
(208) 552-7700

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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