Individual
STEPHAN ARTHUR SIELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
200 W RIVER ST, SUITE 302, KETCHUM, ID 83340
(208) 622-9400
Mailing address
PO BOX 6353, KETCHUM, ID 83340-6353
(208) 622-9400
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
CHIA869
ID
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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