Individual
MR. ERIC STAHLE ASAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11028 W ALDBURY AVE, NAMPA, ID 83651-5072
(208) 466-3360
(208) 468-9592
Mailing address
11028 W ALDBURY AVE, NAMPA, ID 83651-5072
(208) 466-3360
(208) 468-9592
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D2063
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000100
BLUE SHIELD
ID
05
—
002375600
—
ID
01
—
60426
BLUE CROSS
ID
Enumeration date
08/04/2006
Last updated
07/10/2023
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