David Wise, M.D

NPI 1134259849 · on the registry since 2007 · sole proprietor

Practice

Address: 115 S 15th Ave
Pocatello, ID 83201
Phone: (208) 234-0012
Fax: (208) 478-7877
Organisation at this address: Portneuf Dental Pllc
Earl C Chester Jr. Md Pa
Denture Clinic Of Pocatello, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 207Q00000X
207Q00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho