Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

David Allen Waterman, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1710689484

David Allen Waterman, MD is a Student in an Organized Health Care Education/Training Program in Boise, Idaho. Works from 3 locations. Licensed in Idaho and Utah.

Licensed in
ID, UT
In the registry since
2023
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1055 N Curtis Rd
Boise, ID 83706-1309
Phone: (208) 367-7350
Fax: (208) 463-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 395 W Cougar Blvd Ste 205, Provo, UT 84604-3328 — (801) 357-1770
  • 475 W 940 N, Provo, UT 84604-3301 — (801) 357-7686

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4581204 (ID)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Family Medicine Physician Taxonomy 207Q00000X · Licence 14151351-1205 (UT)
Transplant Hepatology Physician Taxonomy 207RT0003X · Licence 4581204 (ID)

Record details

NPI number1710689484
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 20, 2023
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026

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