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Stephanie Roberts, PA
Medical Physician Assistant in Shoshone, Idaho
NPI 1144393257

Stephanie Roberts is a Medical Physician Assistant based in Shoshone, ID and is specialized in Medical. Stephanie Roberts practices in Shoshone, ID and has the professional credentials of PA. The NPI Number for Stephanie Roberts is 1144393257 and holds a License No. PA637 (Idaho).

The current practice location address for Stephanie Roberts is 113 S Apple St, Shoshone, ID and can be reached out via phone at 208-886-2224.

Location: 113 S Apple St, Shoshone, ID, 83352-0609
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144393257
Provider Name
Stephanie Roberts
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
113 S Apple St, Shoshone, ID, 83352-0609
Phone Number
208-886-2224
Fax Number
Provider Enumeration Date
11/16/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
113 S Apple St
City
Shoshone
State
Idaho
Zip
83352-5287
Phone Number
208-886-2224
Fax Number
person
Provider Business Mailing Address Details
Address
113 S Apple St
City
Shoshone
State
Idaho
Zip
83352-5287
Phone Number
208-886-2224
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA637 (Idaho)
Definition
Definition to come...
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