Provider Demographics
NPI:1619173754
Name:BELK, WILLIAM FRANCIS (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:FRANCIS
Last Name:BELK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1955 FREMONT ST
Mailing Address - Street 2:INL OMP
Mailing Address - City:IDAHO FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83415-0001
Mailing Address - Country:US
Mailing Address - Phone:208-526-2356
Mailing Address - Fax:208-526-2456
Practice Address - Street 1:1955 FREMONT ST
Practice Address - Street 2:INL OMP
Practice Address - City:IDAHO FALLS
Practice Address - State:ID
Practice Address - Zip Code:83415-0001
Practice Address - Country:US
Practice Address - Phone:208-526-2356
Practice Address - Fax:208-526-2456
Is Sole Proprietor?:No
Enumeration Date:2007-06-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IDM-55162083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine