Organization
STEVEN L KARASSIK MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN L KARASSIK M.D. (OWNER)
(208) 725-2171
Entity
Organization
Contact information
Practice address
191 5TH ST WEST, KETCHUM, ID 83340
(208) 725-2171
(208) 725-2015
Mailing address
PO BOX 893, KETCHUM, ID 83340-0893
(208) 725-2171
(208) 725-2015
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
M5900
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002718400
—
ID
Enumeration date
05/14/2008
Last updated
05/14/2008
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