Individual
STEWART G CARRINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
203 S DAISY, SALMON, ID 83467-0000
(208) 756-5600
(208) 756-4169
Mailing address
203 S. DAISY ST, SALMON, ID 83467-0000
(208) 756-5600
(208) 756-4169
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
M-5749
ID
208600000X
Surgery Physician
Primary
M-5749
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002132700
—
ID
Enumeration date
09/06/2006
Last updated
12/19/2011
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