Search › Idaho › 124Q00000X
Tyler Stanley
NPI 1225402431 · on the registry since 2015
Practice
- Address
- 1025 W Ironwood Dr
St 1
Coeur D Alene, ID 83814 - Phone
- (208) 667-2322
- Organisation at this address
- James J Lee Dds Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 124Q00000X
124Q00000X
- Also registered as
- 124Q00000X
- Licence states on file
- ID, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-11-25
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