SearchIdaho207P00000X

Nathan Stillwagon, M.D

NPI 1750511168 · on the registry since 2009

Practice

Address
2963 E Copper Point Dr
Meridian, ID 83642
Phone
(208) 322-1730
Organisation at this address
Idaho Emergency Physicians, P.A.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
207P00000X
207P00000X
Also registered as
390200000X
207P00000X
Licence states on file
OR, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-09-25

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