SearchIdaho225700000X

Dean Davis

NPI 1811335854 · on the registry since 2013 · sole proprietor

Practice

Address
3226 8th St Apt J
Lewiston, ID 83501
Phone
(208) 305-1964

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-06-12

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