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Individual

JANINE ANN STONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
7350 W VICTORY RD, BOISE, ID 83709-4237
(208) 809-2888
(208) 809-2889
Mailing address
PO BOX 191050, BOISE, ID 83719-1050
(208) 955-6500
(208) 955-6503

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-10355
ID
207Q00000X
Family Medicine Physician
MD26329
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200296730
OR
Enumeration date
09/02/2006
Last updated
12/06/2021
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