Cameron Gregory Davis

Physician Assistant · Caldwell, ID

Individual Active NPI

NPI number 1174284871

Practice location

315 E Elm St Ste 100
Caldwell, ID 83605-4858
Phone
(208) 302-7150

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NPI record

NPI
1174284871
Entity type
Individual (Type 1)
Enumeration date
January 4, 2022
Last updated
February 4, 2022
Certified
February 4, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA-2214 ID
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

3340 E Goldstone Dr
Meridian, ID 83642-1026
Phone
(208) 302-9342
Fax
(208) 367-5180

About Cameron Davis

Cameron Gregory Davis is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 315 E Elm St Ste 100, Caldwell, ID 83605-4858. The NPI number 1174284871 was assigned on January 4, 2022 and the record was last updated on February 4, 2022.

Cameron Davis lists a license in the registry: #PA-2214 (ID) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Cameron Gregory Davis?

The NPI number is 1174284871.

What is the phone number of Cameron Davis?

The phone number listed for the practice location is (208) 302-7150.

Where is Cameron Davis located?

315 E Elm St Ste 100, Caldwell, ID 83605-4858.

What is the taxonomy code for Cameron Davis?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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