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Dr. J David Sule, MD
Specialist in Blackfoot, Idaho
NPI 1437130515

J David Sule is a Specialist based in Blackfoot, ID. J David Sule practices in Blackfoot, ID and has the professional credentials of MD. The NPI Number for J David Sule is 1437130515 and holds a License No. 042458 (Idaho).

The current practice location address for J David Sule is 98 Poplar St, Blackfoot, ID and can be reached out via phone at 208-758-4100 and via fax at 208-782-3752.

Location: 98 Poplar St, Blackfoot, ID, 83221
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437130515
Provider Name
J David Sule
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
98 Poplar St, Blackfoot, ID, 83221
Phone Number
208-758-4100
Fax Number
208-782-3752
Provider Enumeration Date
11/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000718891A 05 GA
institution
Provider Business Practice Location Address Details
Address
98 Poplar St
City
Blackfoot
State
Idaho
Zip
83221
Phone Number
208-758-4100
Fax Number
208-782-3752
person
Provider Business Mailing Address Details
Address
98 Poplar St
City
Blackfoot
State
Idaho
Zip
83221
Phone Number
208-758-4100
Fax Number
208-782-3752
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
042458 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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