Most Relevant Information
Provider Data
| NPI Number: | 1003179706 |
| Provider Name: | DAVID TEEPLES D.O. |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | O-0863 |
Most Important Dates
| Enumeration Date: | 06/19/2012 |
| Last Updated: | 11/16/2021 |
Provider Practice Location
220 BANNOCK STREET
MALAD
ID
83252
Practice Location Phone/Fax
| Phone: | 2087662600 |
| Fax: | 2087664258 |
Provider Mailing Location
220 BANNOCK STREET
MALAD
ID
83252
Provider Mailing Phone/Fax
| Phone: | 2087662600 |
| Fax: | 2087664258 |
Suggested EMR
Family Practice EMR