Stanley John Cheslock M.D.

NPI 1790876233 - Family Medicine - 207Q00000X

NPI Details
NPI 1790876233
Gender Male
Enumeration Date 09/28/2006
Last Updated 11/26/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
2860 CHANNING WAY
SUITE 224
IDAHO FALLS ID, 83404-7531, US
Phone (208) 529-6430
Fax (208) 529-6428
Business Location
2860 CHANNING WAY
SUITE 224
IDAHO FALLS ID, 83404-7531, US
Phone (208) 529-6430
Fax (208) 529-6428
Toxanomy
Taxonomy Code 207Q00000X
License State Idaho
License Number M3570
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According to our database, Stanley John Cheslock M.D. NPI is 1790876233, taxonomy code is 207Q00000X and license number is M3570, license state is located at Idaho. Stanley John Cheslock M.D. physically located at 2860 Channing Way, Idaho Falls ID, 83404-7531. NPI Number Stanley John Cheslock M.D. has the Individual type.

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1790876233 NPI number is provided on an as is basis without warranty of any kind. 1790876233 is maintained by the National Plan & Provider Enumeration System. The contents of Stanley John Cheslock M.D. are for informational purposes only.