John Stephen Kundrat MD PA

NPI 1063589133 - Ophthalmology - 207W00000X

NPI Details
NPI 1063589133
Gender Male
Enumeration Date 11/30/2006
Last Updated 12/19/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
3316 FOURTH STREET
LEWISTON ID, 83501-4405, US
Phone (208) 746-0458
Fax (208) 743-6020
Business Location
3316 FOURTH STREET
BLDG 3
LEWISTON ID, 83501-4405, US
Phone (208) 746-0458
Fax (208) 743-6020
Toxanomy
Taxonomy Code 207W00000X
License State Washington
License Number MD00014874
Remove 1063589133 NPI Number
 

According to our database, Dr. John Stephen Kundrat MD PA NPI is 1063589133, taxonomy code is 207W00000X and license number is MD00014874, license state is located at Washington. John Stephen Kundrat MD PA physically located at 3316 Fourth Street, Lewiston ID, 83501-4405. NPI Number John Stephen Kundrat MD PA has the Individual type.

Sponsored links

1063589133 NPI number is provided on an as is basis without warranty of any kind. 1063589133 is maintained by the National Plan & Provider Enumeration System. The contents of John Stephen Kundrat MD PA are for informational purposes only.