Individual
DR. KATHERINE S STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
190 E BANNOCK ST, PED. HOSPITALIST, BOISE, ID 83712-6241
(208) 381-2222
(208) 381-4509
Mailing address
190 E. BANNOCK, PED. HOSPITALIST, BOISE, ID 83712
(208) 381-2222
(208) 381-4509
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M6409
ID
Other
Enumeration date
10/19/2005
Last updated
09/18/2012
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