Individual
DR. DOUGLAS B. AKERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
716 YELLOWSTONE AVE, POCATELLO, ID 83201-4407
(208) 233-3660
Mailing address
716 YELLOWSTONE AVE, POCATELLO, ID 83201-4407
(208) 233-3660
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D1738PE
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0035491
—
ID
Enumeration date
08/08/2006
Last updated
07/09/2007
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