SearchIdaho207RP1001X

David Fonseca, MD

NPI 1205034238 · on the registry since 2007

Practice

Address
2347 E Gala St
Meridian, ID 83642
Phone
(208) 323-3767
Clinicians at this address
32

Registry record

Primary taxonomy
207RP1001X
207RP1001X
Also registered as
207RP1001X
207RC0200X
Licence states on file
WI, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-04-26

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