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Individual

STACY T SEYB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
333 N 1ST ST, SUITE 150, BOISE, ID 83702-6100
(208) 381-3088
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
M7960
ID

Other

Enumeration date
05/15/2006
Last updated
08/19/2012
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