Individual
MR. KRISTIAN LAMAR STAUFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HA-2752 NBC #8040
Contact information
Practice address
4121 W STATE ST, BOISE, ID 83703-4438
(208) 853-2650
(208) 853-7333
Mailing address
4121 W STATE ST, BOISE, ID 83703-4438
(208) 853-2650
(208) 853-7333
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
HA-2752
ID
Other
Enumeration date
05/18/2017
Last updated
07/21/2022
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