Individual
DAVID E HASSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7979 W RIFLEMAN ST, BOISE, ID 83704-9066
(208) 855-2410
(208) 855-0157
Mailing address
7979 W RIFLEMAN ST, BOISE, ID 83704-9066
(208) 855-2410
(208) 855-0157
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
10341
MT
207X00000X
Orthopaedic Surgery Physician
Primary
M-9364
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0061591
—
MT
05
—
807263700
—
ID
Enumeration date
09/09/2005
Last updated
01/18/2012
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