STACY ELMO ROBINSON

MTN HOME, ID
NPI1528180254
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: ID  D3517)
Enumeration Date2007-04-04
Last Update Date2007-07-08
Business Address
DR. STACY ELMO ROBINSON DDS
925 W 6TH S
MTN HOME, ID 83647-3300
Phone number: 208-587-2222
Mailing Address
DR. STACY ELMO ROBINSON DDS
925 W 6TH S
MTN HOME, ID 83647-3300
Phone number: 208-587-2222
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