ERIC GERAND STACKLE

BOISE, ID
NPI1922110188
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  M3313)
Enumeration Date2006-08-31
Last Update Date2007-07-08
Business Address
DR. ERIC GERAND STACKLE MD
2429 NORTH COLE ROAD
BOISE, ID 83704-5907
Phone number: 208-377-4190
Mailing Address
DR. ERIC GERAND STACKLE MD
2429 NORTH COLE ROAD
BOISE, ID 83704-5907
Phone number: 208-377-4190
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