Individual
PATRICK D STOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
512 N 21ST AVE, CALDWELL, ID 83605-4368
(208) 809-2875
Mailing address
PO BOX 191050, BOISE, ID 83719-1050
(208) 955-6522
(208) 955-6503
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M8471
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805756100
—
ID
Enumeration date
06/15/2006
Last updated
08/26/2019
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