HEATHER LEA DAVIS

MCCALL, ID
NPI1184667164
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1144)
Additional Taxonomies363A00000X Physician Assistant
(Licence: NM  PA2008-0013)
Enumeration Date2006-06-14
Last Update Date2021-11-09
Business Address
MS. HEATHER LEA DAVIS P.A.-C.
209 FOREST ST
MCCALL, ID 83638-5256
Phone number: 208-634-1776
Mailing Address
MS. HEATHER LEA DAVIS P.A.-C.
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: