Individual
VAN MARTIN STONEHOCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6641 KANIKSU ST, BONNERS FERRY, ID 83805-7532
(208) 267-3655
(208) 267-3757
Mailing address
6641 KANIKSU ST, BONNERS FERRY, ID 83805-7532
(208) 267-3655
(208) 267-3757
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-2040
ID
Other
Enumeration date
05/11/2020
Last updated
01/16/2025
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