JOHN LAWRENCE STUNTZ

POCATELLO, ID
NPI1871223008
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: CO  PA.0007563)
Enumeration Date2022-06-11
Last Update Date2022-10-03
Business Address
JOHN LAWRENCE STUNTZ
921 S 8TH AVE STOP 8253
POCATELLO, ID 83209-0002
Phone number: 208-282-4726
Mailing Address
JOHN LAWRENCE STUNTZ
921 S 8TH AVE STOP 8253
POCATELLO, ID 83209-0002
Phone number: 208-282-4726
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