TISH D DAVIS

MERIDIAN, ID
NPI1548201007
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ID  PA1576)
Enumeration Date2006-06-08
Last Update Date2019-07-22
Business Address
TISH D DAVIS PA-C
2235 E GALA ST
MERIDIAN, ID 83642-8026
Phone number: 208-887-3724
Mailing Address
TISH D DAVIS PA-C
425 W BANNOCK ST
BOISE, ID 83702-6035
Phone number: 208-343-1702
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