Organization
STEM CELL CENTERS OF IDAHO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY AUTOR (OWNER/PRESIDENT)
(509) 808-0708
Entity
Organization
Contact information
Practice address
1341 N NORTHWOOD CENTER CT STE B, COEUR D ALENE, ID 83814-2471
(208) 771-7054
Mailing address
223 W IRONWOOD DR, COEUR D ALENE, ID 83814-2651
(208) 215-3261
(208) 966-4284
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
03/13/2014
Last updated
06/23/2020
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