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Organization

DR. WILLIAM STANO

Active
Other names
The Walking Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM STANO DPM (ADMINISTRATOR)
(208) 343-8907
Entity
Organization

Contact information

Practice address
220 W JEFFERSON ST, BOISE, ID 83702-6044
(208) 343-8907
(208) 343-9161
Mailing address
220 W JEFFERSON ST, BOISE, ID 83702-6044
(208) 343-8907
(208) 343-9161

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DE1967
RAILROAD MEDICARE
ID
Enumeration date
08/01/2006
Last updated
06/03/2008
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