Search › Idaho › 156FX1800X
Douglas Davidson
NPI 1770672842 · on the registry since 2006 · sole proprietor
Practice
- Address
- 512 S Main St
Moscow, ID 83843 - Phone
- (208) 883-3000
Registry record
- Primary taxonomy
- 156FX1800X
156FX1800X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-11-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho