TARA MARIE DAVIDSON

BOISE, ID
NPI1164085452
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: TX  U2470)
Additional Taxonomies207R00000X Internal Medicine
(Licence: MN  67727)
207RX0202X Internal Medicine, Medical Oncology
(Licence: ID  7271557)
207R00000X Internal Medicine
(Licence: MN  30238)
Enumeration Date2019-04-22
Last Update Date2025-09-11
Business Address
TARA MARIE DAVIDSON MD
100 E IDAHO ST
BOISE, ID 83712-6267
Phone number: 208-381-2711
Mailing Address
TARA MARIE DAVIDSON MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: