Individual
DR. DAVID P HIGHTOWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-8748
(208) 381-8786
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M-9719
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01674018
BCBS KC MO GROUP 01674018
KS
05
—
100270040A
—
KS
05
—
100270040C
—
KS
05
—
206039802
—
MO
01
—
23279063
BCBS OF KC MO
KS
01
—
930051046
RR MEDICARE GROUP CG8899
—
01
—
P00191070
RR MEDICARE GROUP DC6712
—
Enumeration date
08/03/2005
Last updated
06/25/2024
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