Individual
DUSTIN DEHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
999 N CURTIS RD STE 415, BOISE, ID 83706-1334
(208) 302-2600
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 302-9342
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
125074479
IL
208600000X
Surgery Physician
Primary
7871454
ID
Other
Enumeration date
04/21/2019
Last updated
05/22/2025
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