Individual
DR. ELENA STAMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
10000 W AMITY RD, BOISE, ID 83709
(208) 854-5299
(208) 854-5221
Mailing address
10000 W AMITY RD, ATTN E STAMM, BOISE, ID 83709
(208) 854-5299
(208) 854-5221
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD-1994
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AUD-1994
IDAHO LICENSE
ID
Enumeration date
06/04/2019
Last updated
06/04/2019
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