Individual
MICHAEL LOGAN STANDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5080 E COMMERCE ST, NAMPA, ID 83687-5513
(208) 489-1900
(208) 489-1900
Mailing address
5083 E COMMERCE AVE, NAMPA, ID 83687
(208) 489-1900
Taxonomy
Speciality
Code
Description
License number
State
163WG0100X
Gastroenterology Registered Nurse
Primary
55316
ID
Other
Enumeration date
05/21/2026
Last updated
05/21/2026
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