Individual
BENJAMIN STOCKTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
777 N RAYMOND ST, BOISE, ID 83704-9251
(208) 514-2500
(208) 375-2217
Mailing address
PO BOX 2160, SANDPOINT, ID 83864-0908
(208) 263-7101
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M14205
ID
207Q00000X
Family Medicine Physician
MRM-1586
ID
Other
Enumeration date
06/01/2016
Last updated
04/07/2021
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