DR. David Dale Wageman, DO

NPI #1528108867 in Rupert, Idaho

Provider Information

NPI Number: 1528108867
Entity Type: Individual
Name: DR. David Dale Wageman, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: DO
Enumeration Date: Feb 7, 2007
Last Updated: Jun 6, 2025

Practice Location

Address: 1224 8TH ST
City: Rupert
State: Idaho
ZIP Code: 83350-1599
Phone: (208) 436-0481

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary
Internal Medicine	207R00000X

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