CHARLES MICHAEL DAVIS

BOISE, ID
NPI1104877364
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  o--0448)
Enumeration Date2006-05-13
Last Update Date2022-02-25
Business Address
Dr. CHARLES MICHAEL DAVIS DO
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
Mailing Address
Dr. CHARLES MICHAEL DAVIS DO
500 W. FORT ST. # 111
BOISE, ID 83702
Phone number: 208-422-1325
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