person
Shelley Leilani Davis, PA-C
Medical Physician Assistant in Idaho Falls, Idaho
NPI 1235568742

Shelley Leilani Davis is a Medical Physician Assistant based in Idaho Falls, ID and is specialized in Medical. Shelley Leilani Davis practices in Idaho Falls, ID and has the professional credentials of PA-C. The NPI Number for Shelley Leilani Davis is 1235568742 and holds a License No. TLP-014 (Idaho).

The current practice location address for Shelley Leilani Davis is 3614 Washington Pkwy, Idaho Falls, ID and can be reached out via phone at 208-552-7700 and via fax at 208-552-1786.

Location: 3614 Washington Pkwy, Idaho Falls, ID, 83404-7573
person
Provider Profile Details
NPI Number
1235568742
Provider Name
Shelley Leilani Davis
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
3614 Washington Pkwy, Idaho Falls, ID, 83404-7573
Phone Number
208-552-7700
Fax Number
208-552-1786
Provider Enumeration Date
11/05/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3614 Washington Pkwy
City
State
Zip
83404-7573
Phone Number
208-552-7700
Fax Number
208-552-1786
person
Provider Business Mailing Address Details
Address
3614 Washington Pkwy
City
State
Zip
83404-7573
Phone Number
208-552-7700
Fax Number
208-552-1786
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
TLP-014 (Idaho)
Definition
Definition to come...
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