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Mack Stephenson, PH.D
NPI 1467676254 · on the registry since 2007
Practice
- Address
- 78 Sw 5th Ave
Suite 2
Meridian, ID 83642 - Phone
- (208) 288-0692
- Fax
- (208) 288-0467
- Organisation at this address
- Mack B. Stephenson, Ph.D., Chtd
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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