Individual
DAVID K. WYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2347 E GALA ST, MERIDIAN, ID 83642-4881
(208) 323-3767
(208) 323-3750
Mailing address
190 E BANNOCK ST, BOISE, ID 83712
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
O-0599
ID
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
O-0599
ID
207RP1001X
Pulmonary Disease Physician
Primary
O-0599
ID
Other
Enumeration date
05/16/2007
Last updated
09/15/2012
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