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NPI Verification

National Provider Identifier: 1639240864

Ginger L. Dattilo, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Internal Medicine

Code: 207R00000X

All Specialties (2)

Internal Medicine

Code: 207R00000X

Primary

Internal Medicine, Geriatric Medicine

Code: 207RG0300X

Practice Address

PO BOX 828

BELLEVUE, ID 833130828

Phone: 720-301-2055

NPI Enumeration Date

November 10, 2006

NPI Number

1639240864

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry