Individual
DAVID A WALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1055 N CURTIS ROAD, BOISE, ID 83706
(208) 367-4030
(208) 367-4051
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642
(208) 367-4030
(208) 367-4051
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
M-14009
ID
208100000X
Physical Medicine & Rehabilitation Physician
ME 83180
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264726500
—
FL
Enumeration date
07/26/2006
Last updated
01/25/2018
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