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1255621793
MITCHAEL CONRAD STEORTS
AMMON, ID
NPI
1255621793
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080A0000X Pediatrics, Adolescent Medicine
(Licence: ID TL-4030)
Enumeration Date
2011-04-18
Last Update Date
2020-11-19
Business Address
Dr. MITCHAEL CONRAD STEORTS M.D.
3067 EAGLE DR
AMMON, ID 83406-1273
Phone number: 208-522-4600
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Mailing Address
Dr. MITCHAEL CONRAD STEORTS M.D.
3067 EAGLE DR
AMMON, ID 83406-1273
Phone number: 208-522-4600
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