All Medicaid billing entities listing DAVIS, DANNY (ADMINISTRATOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Idaho | 1 | $5K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | TETON NUCLEAR MEDICINE SERVICE LLC | IDAHO FALLS, ID | Nuclear Cardiology Physician | $5K |