Individual
SCOTT BURGSTAHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
207 CHURCH ST, SANDPOINT, ID 83864-1342
(208) 263-6876
(208) 263-2033
Mailing address
PO BOX 2153 DEPT 40339, BIRMINGHAM, AL 35287-9387
(706) 271-0100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M5470
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010003647
PIN
ID
05
—
003603300
—
ID
01
—
54700
PIN
ID
Enumeration date
05/20/2006
Last updated
08/20/2020
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