Individual
DERRICK DAUPLAISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2900
(208) 381-3255
Mailing address
1623 S DENVER AVE, BOISE, ID 83706-3511
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
M11084
ID
Other
Enumeration date
06/21/2007
Last updated
06/24/2013
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