NPI 1053425603

David B Bettis, MD

Practitioner Neurology with Special Qualifications in Child Neurology Physician Boise, ID

Practice location

Address: 100 E Idaho St STE 201, Boise, ID 83712-6267
Phone: (208) 381-5180
Fax: (208) 381-5190
Mailing address: 190 E Bannock St, Boise, ID 83712-6241

Registered specialties

Neurology with Special Qualifications in Child Neurology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084N0402X Licence M5207 (ID)

Other Psychiatry & Neurology providers in Idaho →

Registry record

NPI: 1053425603
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Aug 2006
Record last updated: 24 Jul 2013

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.