NPI 1124357645

Robert L. Davidson, M.D. PLLC

Organisation Nephrology Physician Meridian, ID

Practice location

Address: 520 S Eagle Rd Suite 1245, Meridian, ID 83642-6351
Phone: (208) 890-2539
Fax: (208) 939-2698
Mailing address: 13601 W McMillan Rd Suite 102-311, Boise, ID 83713-2071

Authorised official

Name: Robert Lantz Davidson
Title: Physician Owner
Phone: (208) 890-9539

Registered specialties

Nephrology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RN0300X Licence M7907 (ID)

Other Internal Medicine providers in Idaho →

Registry record

NPI: 1124357645
Entity type: Organization
NPI issued: 11 Dec 2009
Record last updated: 11 Dec 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.