Individual
CHRISTOPHER MICHAEL STANDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
700 S MAIN ST, MOSCOW, ID 83843-3056
(208) 882-4511
Mailing address
PO BOX 8007, MOSCOW, ID 83843-0507
(208) 883-2224
(208) 883-6580
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2013018129
MO
207Q00000X
Family Medicine Physician
Primary
O-1360
ID
Other
Enumeration date
06/18/2013
Last updated
07/19/2024
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