Individual
DAVID PORTER BATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
393 E 2ND N, REXBURG, ID 83440-1605
(208) 359-4841
(208) 359-4842
Mailing address
742 NINA DR, REXBURG, ID 83440-1723
(208) 569-2464
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-992
ID
Other
Enumeration date
07/18/2012
Last updated
09/07/2012
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