Individual
MICHELLE STACEY CHRISTOPHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5966 W CURTISIAN AVE, BOISE, ID 83704-8801
(208) 302-5470
(208) 302-5480
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
259527
MA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
036142651
IL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
320849
LA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
5161272
ID
Other
Enumeration date
06/17/2014
Last updated
09/17/2024
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