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Nathan T Stillwagon, MD
Emergency Medicine Physician in Meridian, Idaho
NPI 1750511168

Nathan T Stillwagon is a Emergency Medicine Physician based in Meridian, ID. Nathan T Stillwagon practices in Meridian, ID and has the professional credentials of MD. The NPI Number for Nathan T Stillwagon is 1750511168 and holds a License No. (Idaho).

The current practice location address for Nathan T Stillwagon is 2963 E Copper Point Dr, Meridian, ID and can be reached out via phone at 208-322-1730.

Location: 2963 E Copper Point Dr, Meridian, ID, 83642-9055
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750511168
Provider Name
Nathan T Stillwagon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2963 E Copper Point Dr, Meridian, ID, 83642-9055
Phone Number
208-322-1730
Fax Number
Provider Enumeration Date
07/20/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2963 E Copper Point Dr
City
Meridian
State
Idaho
Zip
83642-9055
Phone Number
208-322-1730
Fax Number
person
Provider Business Mailing Address Details
Address
2963 E Copper Point Dr
City
Meridian
State
Idaho
Zip
83642-9055
Phone Number
208-322-1730
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
MD184107 (Oregon)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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