HomeNPI Verification

NPI Verification

National Provider Identifier: 1164085452

Tara Marie Davidson, MD

Individual Provider

Credentials

Primary Specialty

Internal Medicine

Code: 207R00000X

All Specialties (4)

Internal Medicine

Code: 207R00000X

Primary

Internal Medicine

Code: 207R00000X

Internal Medicine, Medical Oncology

Code: 207RX0202X

Internal Medicine

Code: 207R00000X

Practice Address

190 E BANNOCK ST

BOISE, ID 837126241

NPI Enumeration Date

April 22, 2019

NPI Number

1164085452

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry