NPI 1003179706
David Teeples, DO
Practice location
- Address
- 220 Bannock Street, Malad, ID 83252
- Phone
- (208) 766-2600
- Fax
- (208) 766-4258
Registered specialties
Family Medicine Physician
Primary
Registry record
- NPI
- 1003179706
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 19 Jun 2012
- Record last updated
- 16 Nov 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.