David B Bettis MD

NPI 1053425603 - Psychiatry & Neurology - 2084N0402X

NPI Details
NPI 1053425603
Gender Male
Enumeration Date 08/19/2006
Last Updated 07/24/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
100 E IDAHO ST
STE 201
BOISE ID, 83712-6267, US
Phone (208) 381-5180
Fax (208) 381-5190
Business Location
190 E BANNOCK ST
BOISE ID, 83712-6241, US
Phone (208) 381-2222
Fax
Toxanomy
Taxonomy Code 2084N0402X
License State Idaho
License Number M5207
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According to our database, David B Bettis MD NPI is 1053425603, taxonomy code is 2084N0402X and license number is M5207, license state is located at Idaho. David B Bettis MD physically located at 100 E Idaho St, Boise ID, 83712-6267. NPI Number David B Bettis MD has the Individual type.

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1053425603 NPI number is provided on an as is basis without warranty of any kind. 1053425603 is maintained by the National Plan & Provider Enumeration System. The contents of David B Bettis MD are for informational purposes only.