Wood, David W

Wood, David W is an individual health care provider with primary practice located at 425 W Bannock St , Boise ID 83702-6035. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Wood, David W can be contacted via phone (208) 343-6458.

Contact Information

Primary practice address
425 W Bannock St Boise ID 83702-6035
Phone: (208) 343-6458
Fax: (208) 343-5031
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X M-7913 Idaho

Profile Details

NPI number 1659367993
LBN Legal business name Wood, David W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Sep 21st, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1659367993 NPPES
Idaho Other 000010137531 BLUE SHIELD OF IDAHO
Idaho MEDICAID 805634500 BLUE SHIELD OF IDAHO
Idaho Other J5818 BLUE SHIELD OF IDAHO
Idaho Other P00077694 BLUE SHIELD OF IDAHO

Popular Providers