JASON DAVIS

GOODING, ID
NPI1003127374
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA06785)
Enumeration Date2010-07-01
Last Update Date2022-08-26
Business Address
JASON DAVIS PA
267 N CANYON DR
GOODING, ID 83330-5500
Phone number: 208-934-4446
Mailing Address
JASON DAVIS PA
267 N CANYON DR
GOODING, ID 83330-5500
Phone number: 208-934-4446
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