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Dr. David Leo Wise, MD
Family Medicine Physician in Pocatello, Idaho
NPI 1134259849

David Leo Wise is a Family Medicine Physician based in Pocatello, ID. David Leo Wise practices in Pocatello, ID and has the professional credentials of MD. The NPI Number for David Leo Wise is 1134259849 and holds a License No. M-3654 (Idaho).

The current practice location address for David Leo Wise is 115 S 15Th Ave, Pocatello, ID and can be reached out via phone at 208-234-0012 and via fax at 208-478-7877.

Location: 115 S 15Th Ave, Pocatello, ID, 83201-4068
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134259849
Provider Name
David Leo Wise
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
115 S 15Th Ave, Pocatello, ID, 83201-4068
Phone Number
208-234-0012
Fax Number
208-478-7877
Provider Enumeration Date
03/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3654-1 01 ID BLUE CROSS OF IDAHO
institution
Provider Business Practice Location Address Details
Address
115 S 15Th Ave
City
Pocatello
State
Idaho
Zip
83201-4068
Phone Number
208-234-0012
Fax Number
208-478-7877
person
Provider Business Mailing Address Details
Address
115 S 15Th Ave
City
Pocatello
State
Idaho
Zip
83201-4068
Phone Number
208-234-0012
Fax Number
208-478-7877
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
M-3654 (Idaho)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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