DR. David Leo Wise, M.D.

NPI #1134259849 in Pocatello, Idaho

Provider Information

NPI Number
1134259849
Entity Type
Individual
Name
DR. David Leo Wise, M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Family Medicine
Credential
M.D.
Enumeration Date
Mar 6, 2007
Last Updated
Jul 9, 2007

Practice Location

Address
115 S 15TH AVE
State
Idaho
ZIP Code
83201-4068
Phone
(208) 234-0012

Specialties & Taxonomy Codes

Specialty
Family Medicine

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