NPI 1174284871

Cameron Gregory Davis

Practitioner Physician Assistant Caldwell, ID

Practice location

Address: 315 E Elm St STE 100, Caldwell, ID 83605-4858
Phone: (208) 302-7150
Mailing address: 3340 E Goldstone Dr, Meridian, ID 83642-1026

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA-2214 (ID)

Other Physician Assistant providers in Idaho →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1174284871
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Jan 2022
Record last updated: 4 Feb 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.