Individual
BRYAN STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
207 E 12TH ST, EMMETT, ID 83617-3626
(208) 365-1065
(208) 365-1068
Mailing address
207 E 12TH ST, P.O. BOX 429, EMMETT, ID 83617-3626
(208) 365-1065
(208) 365-1068
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-3318
ID
207Q00000X
Family Medicine Physician
MD22352
OR
Other
Enumeration date
08/02/2005
Last updated
03/19/2008
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