Individual
DAVID C PAKULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 SOUTHWAY, SUITE B, LEWISTON, ID 83501-2703
(208) 746-3500
(208) 746-6423
Mailing address
222 SOUTHWAY, SUITE B, LEWISTON, ID 83501-2703
(208) 746-3500
(208) 746-6423
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
14070
WA
208800000X
Urology Physician
Primary
M4761
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016252
—
WA
Enumeration date
02/28/2006
Last updated
07/08/2007
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