Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

David Allen Waterman, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1710689484

David Allen Waterman, MD is a Student in an Organized Health Care Education/Training Program in Boise, Idaho. Works from 3 locations. Licensed in Idaho and Utah.

Licensed in
ID, UT
In the registry since
2023
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Boise, ID

No coordinates on file. Search this address in Google Maps

Additional practice locations (2)

  • 395 W Cougar Blvd Ste 205, Provo, UT 84604-3328 — (801) 357-1770
  • 475 W 940 N, Provo, UT 84604-3301 — (801) 357-7686

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4581204 (ID)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Family Medicine Physician Taxonomy 207Q00000X · Licence 14151351-1205 (UT)
Transplant Hepatology Physician Taxonomy 207RT0003X · Licence 4581204 (ID)

Record details

NPI number1710689484
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 20, 2023
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026

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