Stuart Austin Black III is a Family Medicine Physician based in Nampa, ID. Stuart Austin Black III practices in Nampa, ID and has the professional credentials of MD. The NPI Number for Stuart Austin Black III is 1053351361 and holds a License No. 01060962A (Idaho).
The current practice location address for Stuart Austin Black III is 223 16Th Ave N, Nampa, ID and can be reached out via phone at 208-466-7869 and via fax at 208-466-5359.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11000131 | 01 | ID | MEDICARE PTAN |
| 11000133 | 01 | ID | MEDICARE PTAN |
| 1053351361 | 05 | ID | |
| 11000132 | 01 | ID | MEDICARE PTAN |
| P00777176 | 01 | ID | MEDICARE RAILROAD PTAN |
| M9850 | 01 | ID | IDAHO LICENSE |
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