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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BODIE LEE DAVIS

Active Sole Proprietor

BODIE LEE DAVIS is a Case Manager healthcare provider located in PAYETTE, Idaho. NPI 1811601081 is currently active in the NPPES registry. Verify at CMS.

Case Manager · PAYETTE, ID

Registration Details

NPI Number
1811601081
Provider Type
Individual
Gender
Male
NPI Issued
Jan 11, 2023 (3.608584098586 yrs)
Last Updated
Jan 11, 2023
Sole Proprietor
Yes

Practice Information

Address
250 S MAIN ST
PAYETTE, ID, 836612853
Browse ID providers · Browse ZIP 83661
Phone
2084050020
Primary Specialty
Case Manager
171M00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.