Individual provider · Type 1 NPI

Tish D. Davis, PA-C

Medical Physician Assistant · Meridian, ID

NPI number 1548201007 Active

Practice location

2235 E Gala St
Meridian, ID 83642-8026

Call (208) 887-3724 Map

Fax (208) 887-1682

Mailing address

425 W Bannock St
Boise, ID 83702-6035

Other practice locations

  • 425 W Bannock St, Boise, ID 83702-6035 · (208) 343-6458
  • 9850 St Lukes Dr, Nampa, ID 83687-7912 · (208) 343-6458
  • 1200 Garrity Blvd, Nampa, ID 83687-3402 · (208) 343-6458

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA1576 (ID)

Medical Physician Assistant: Definition to come...

14 other providers at this address

Other medical physician assistant providers in Meridian

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About NPI 1548201007

Tish D. Davis, PA-C's National Provider Identifier is 1548201007, issued on Jun 8, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Meridian, ID. The record was last updated on Jul 22, 2019.