Dr. David Leo Wise, MD
Dr. David Leo Wise, MD is a Family Practice in Pocatello, Idaho. Graduated from University of Colorado School of Medicine, Denver in 1973, 53 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Idaho.
- Years since qualifying
- 53
- Trained at
- University of Colorado School of Medicine, Denver
- Licensed in
- ID
- In the registry since
- 2007
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
115 S 15th AvePocatello, ID 83201-4068
Phone: (208) 234-0012
Fax: (208) 478-7877
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence M-3654 (ID) |
|---|
Record details
| NPI number | 1134259849 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | March 6, 2007 |
| Last updated in NPPES | July 9, 2007 |
| Mailing address | 115 S 15th Ave, Pocatello, ID 83201-4068 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER |
| Graduated | 1973 (53 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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