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NPI Code Detail

MEDICARE: DAVID MATTHEW TOVAR B.S

MEDICARE: DAVID MATTHEW TOVAR B.S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker9771652ID

General Provider Information

NPI Number : 1639539273
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID MATTHEW TOVAR B.S
Provider Business Mailing Address
First Line : 3782 E AMITY AVE
Second Line :
City : NAMPA
State : ID
Zip : 83687-1196
Country : US
Telephone Number : 208-563-2972
Fax Number : 208-936-3422
Provider Business Practice Location Address
First Line : 702 SUNSET DR
Second Line :
City : ONTARIO
State : OR
Zip : 97914-3121
Country : US
Telephone Number : 541-889-9167
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2016
Last Update Date : 03/03/2026

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