Individual
MR. DUSTIN LEE DOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BC-HIS
Contact information
Practice address
211 W MAIN ST, EMMETT, ID 83617-2937
(208) 369-4307
(208) 369-4503
Mailing address
211 W MAIN ST, EMMETT, ID 83617-2937
(208) 369-4307
(208) 369-4503
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA-1961
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10202510
OREGON HEALTH AUTHORITY
OR
01
—
HA-1961
IDAHO BOARD OF OCCUPATIONAL LICENSING
—
05
—
TPIDTP013943
—
ID
Enumeration date
03/28/2019
Last updated
11/07/2022
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