SearchIdaho207R00000X

Ginger Dattilo, M.D

NPI 1639240864 · on the registry since 2006

Practice

Address
111 Ridgview Dr.
Bellevue, ID 83313
Phone
(720) 301-2055

Registry record

Primary taxonomy
207R00000X
207R00000X
Also registered as
207RG0300X
Licence states on file
OR, CO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-05-15

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