Individual
MR. WALTER A STEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
444 HOSPITAL WAY, SUITE 801, POCATELLO, ID 83201-2745
(208) 232-6214
(208) 233-3416
Mailing address
444 HOSPITAL WAY, SUITE 801, POCATELLO, ID 83201-2745
(208) 232-6214
(208) 233-3416
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA171
ID
Other
Enumeration date
08/09/2005
Last updated
10/28/2010
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