Individual
LESLIE J STUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
701 E PARKCENTER BLVD, BOISE, ID 83706-7539
(208) 381-6500
(208) 381-6505
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-6500
(208) 381-6505
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M-5963
ID
Other
Enumeration date
05/08/2006
Last updated
08/21/2012
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