Individual
JEFFREY B STIEGLITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 CHANNING WAY, IDAHO FALLS, ID 83404-1647
(208) 535-4130
(208) 535-4125
Mailing address
PO BOX 1647, 2860 CHANNING WAY SUITE 115, IDAHO FALLS, ID 83403-1647
(208) 535-4130
(208) 535-4125
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M5344
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003941100
—
ID
01
—
58156
BLUE CROSS
ID
Enumeration date
12/27/2005
Last updated
01/06/2014
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