NPI 1083691398

David Laxson, MD

Practitioner Cardiovascular Disease Physician Ketchum, ID

Practice location

Address: 100 Hospital Drive, Ketchum, ID 83340
Phone: (208) 727-8710
Mailing address: PO Box 640, Boise, ID 83701-0640

Registered specialties (2)

Cardiovascular Disease Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RC0000X Licence M-15593 (ID)

Other Internal Medicine providers in Idaho →

Cardiovascular Disease Physician

Allopathic & Osteopathic Physicians Taxonomy 207RC0000X Licence 26977 (MN)

Registry record

NPI: 1083691398
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Dec 2005
Record last updated: 4 Jan 2022

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.