Individual
STEPHEN A DENAGY
Active
Individual
STEPHEN A DENAGY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M4915
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M4915
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010005201
BLUE SHIELD OF IDAHO
ID
05
—
002648500
—
ID
01
—
1370128
MEDICARE GROUP
ID
01
—
49155
BLUE CROSS OF IDAHO
ID
01
—
820428306
CIGNA BEHAVIORAL HEALTH
ID
01
—
C36950
UPIN
ID
01
—
G526301
TRICARE
ID
Enumeration date
03/15/2007
Last updated
04/03/2015
Update your record
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