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Keith E Davis
Rural Health Clinic/Center in Shoshone, Idaho
NPI 1972673218

Keith E Davis is a Rural Health Clinic/Center based in Shoshone, ID and is specialized in Rural Health. Keith E Davis practices in Shoshone, ID. The NPI Number for Keith E Davis is 1972673218 and holds a License No. (Idaho).

The current practice location address for Keith E Davis is 113 S Apple St, Shoshone, ID and can be reached out via phone at 208-886-2222.

Location: 113 S Apple St, Shoshone, ID, 83352-0609
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972673218
Provider Name
Keith E Davis
Credential
Provider Entity Type
Organization
Address
113 S Apple St, Shoshone, ID, 83352-0609
Phone Number
208-886-2222
Fax Number
Provider Enumeration Date
11/08/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
806290300 05 ID
institution
Provider Business Practice Location Address Details
Address
113 S Apple St
City
Shoshone
State
Idaho
Zip
83352-5287
Phone Number
208-886-2222
Fax Number
person
Provider Business Mailing Address Details
Address
113 S Apple St
City
Shoshone
State
Idaho
Zip
83352-5287
Phone Number
208-886-2222
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
()
Definition
Definition to come...
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