Individual
DAVID J GILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
949 N CURTIS RD, BOISE, ID 83706-1307
(208) 947-7000
Mailing address
PO BOX 9649, BOISE, ID 83707-4649
(208) 472-8126
(208) 472-8172
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
M3383
ID
2085R0202X
Diagnostic Radiology Physician
Primary
M3383
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003716400
—
ID
Enumeration date
05/17/2006
Last updated
09/24/2011
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