Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GINGER L. DATTILO, M.D.
ActiveGINGER L. DATTILO, M.D. is a Internal Medicine healthcare provider located in BELLEVUE, Idaho. NPI 1639240864 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · BELLEVUE, ID
Registration Details
- NPI Number
- 1639240864
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 10, 2006 (19.752820984991 yrs)
- Last Updated
- May 15, 2015
- Licenses
-
MD20663 (OR)43963 (CO)
Practice Information
- Address
-
111 RIDGVIEW DR.BELLEVUE, ID, 833130828Browse ID providers · Browse ZIP 83313
- Phone
- 7203012055
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Gastroenterology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.