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Individual

DR. WILLIAM SCOTT STANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
220 W JEFFERSON ST, BOISE, ID 83702-6044
(208) 343-8907
(208) 343-9161
Mailing address
220 W JEFFERSON ST, BOISE, ID 83702-6044
(208) 343-8907
(208) 343-9161

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P114
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000448700
ID
01
480004412
RAILROAD MEDICARE
ID
Enumeration date
07/28/2006
Last updated
06/03/2008
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