Individual
DENNIS L WATTIER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
20293 STOCKBRIDGE WAY, CALDWELL, ID 83605-7947
(208) 409-8699
Mailing address
20293 STOCKBRIDGE WAY, CALDWELL, ID 83605-7947
(205) 409-8699
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N-43737
ID
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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