Individual
STUART CHARLES GOLDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1010 RANCH RD, MOSCOW, ID 83843-7484
(208) 310-2125
Mailing address
1010 RANCH RD, MOSCOW, ID 83843-7484
(208) 310-2125
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
M-6713
ID
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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