Individual
DAVID MICHAEL LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
900 N LIBERTY ST STE 400, BOISE, ID 83704-8707
(208) 367-3320
Mailing address
6191 S BOSCH WAY, MERIDIAN, ID 83642-7841
(661) 578-8087
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
O-1931
ID
Other
Enumeration date
02/13/2019
Last updated
03/16/2025
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