Individual
MS. STEPHANIE MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1660 JOHN ADAMS PKWY, IDAHO FALLS, ID 83401-4360
(208) 523-8844
(208) 529-8684
Mailing address
1660 JOHN ADAMS PKWY, IDAHO FALLS, ID 83401-4360
(208) 523-8844
(208) 529-8684
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
GPA008
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010154501
BLUE SHIELD OF IDAHO
—
05
—
807377800
—
ID
01
—
PAC62
BLUE CROSS OF IDAHO
ID
Enumeration date
02/08/2006
Last updated
02/09/2015
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