CHRISTOPHER MICHAEL STANDLEY

MOSCOW, ID
NPI1073952537
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  O-1360)
Additional Taxonomies207Q00000X Family Medicine
(Licence: MO  2013018129)
Enumeration Date2013-06-18
Last Update Date2024-07-19
Business Address
CHRISTOPHER MICHAEL STANDLEY D.O.
700 S MAIN ST
MOSCOW, ID 83843-3056
Phone number: 208-882-4511
Mailing Address
CHRISTOPHER MICHAEL STANDLEY D.O.
PO BOX 8007
MOSCOW, ID 83843-0507
Phone number: 208-883-2224