Individual
MR. WILL G STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
2001 S WOODRUFF AVE, SUITE 12B, IDAHO FALLS, ID 83404-6374
(208) 529-2498
(208) 528-7971
Mailing address
2001 S WOODRUFF AVE, SUITE 12B, IDAHO FALLS, ID 83404-6374
(208) 529-2498
(208) 528-7971
Taxonomy
Speciality
Code
Description
License number
State
2279P1006X
Pulmonary Function Technologist Registered Respiratory Therapist
Primary
LRT157
ID
Other
Enumeration date
01/19/2011
Last updated
01/19/2011
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