NPI 1003127374

Jason Davis, PA

Practitioner Physician Assistant Gooding, ID

Practice location

Address: 267 N Canyon Dr, Gooding, ID 83330-5500
Phone: (208) 934-4446
Fax: (208) 934-4442

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA06785 (TX)

Other Physician Assistant providers in Idaho →

Registry record

NPI: 1003127374
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jul 2010
Record last updated: 26 Aug 2022

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.