STEPHANIE DALTON

BOISE, ID
NPI1801978135
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: ID  PA374)
Enumeration Date2006-10-19
Last Update Date2022-10-04
Business Address
STEPHANIE DALTON PA-C
6565 W EMERALD ST
BOISE, ID 83704-8737
Phone number: 208-377-5055
Mailing Address
STEPHANIE DALTON PA-C
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: