IndividualActive
Dustin Dehart
NPI 1861055253 · Surgery Physician · Boise, ID
Provider details
- NPI number
- 1861055253
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 125074479 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
999 N Curtis Rd Ste 415
Boise, ID 83706-1334
Phone: (208) 302-2600
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 190930
Boise, ID 83719-0930
Additional practice locations (1)
- 1500 S Fairfield AveChicago, IL 60608-1782Phone: (773) 542-2000
Registry dates
- Enumerated
- 2019-04-21
- Last updated
- 2025-05-22
- Certified
- 2025-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.