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Individual

DR. STEPHEN P IRELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
520 S EAGLE RD, SUITE 2207, MERIDIAN, ID 83642-6351
(208) 706-6300
(208) 706-7227
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
(541) 389-1887

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
M12590
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
038518
OR
Enumeration date
03/25/2006
Last updated
06/06/2016
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