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Search › Idaho › 208100000X

Emma Stayduhar

NPI 1164903076 · on the registry since 2018 · sole proprietor

Practice

Address
25 Jacobs Gulch Rd
Kellogg, ID 83837
Phone
(208) 784-4603
Organisation at this address
Shoshone Medical Center
Shoshone Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
208100000X
208100000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-08-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho