Provider Demographics
NPI:1891987467
Name:DAVIS, TOBY A (DO)
Entity Type:Individual
Prefix:DR
First Name:TOBY
Middle Name:A
Last Name:DAVIS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:PO BOX 191050
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83719-1050
Mailing Address - Country:US
Mailing Address - Phone:208-955-6500
Mailing Address - Fax:208-955-6501
Practice Address - Street 1:1623 S WELLS AVE
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83642-5040
Practice Address - Country:US
Practice Address - Phone:208-489-1450
Practice Address - Fax:208-489-1451
Is Sole Proprietor?:No
Enumeration Date:2007-08-16
Last Update Date:2023-12-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IDO0466207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine