Individual
DR. DAVID ANTON WOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
M3141
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010006141
REGENCE BLUE SHIELD OF ID
ID
05
—
004011500
—
ID
01
—
1518003516
NORTH IDAHO CATARACT & LA
—
01
—
31419
BLUE CROSS OF IDAHO
ID
Enumeration date
01/29/2007
Last updated
07/06/2010
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