STEPHEN GENE PLOYHAR

COEUR D ALENE, ID
NPI1104750371
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  2681314)
Enumeration Date2026-06-11
Last Update Date2026-06-24
Business Address
STEPHEN GENE PLOYHAR
1090 W PARK PL
COEUR D ALENE, ID 83814-2785
Phone number: 208-415-0299
Mailing Address
STEPHEN GENE PLOYHAR
PO BOX 1387
HAYDEN, ID 83835-1387
Phone number: 208-415-0299