Individual
STEPHEN CHARLES HUNTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O. D.
Contact information
Practice address
10454 W OVERLAND RD, BOISE, ID 83709-1433
(208) 672-1370
Mailing address
10454 W OVERLAND RD, BOISE, ID 83709-1433
(208) 672-1370
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-932
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002780900
—
ID
Enumeration date
08/19/2006
Last updated
05/20/2010
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