Individual
DAVID B BETTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 E IDAHO ST, STE 201, BOISE, ID 83712-6267
(208) 381-5180
(208) 381-5190
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
M5207
ID
Other
Enumeration date
08/19/2006
Last updated
07/24/2013
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