Individual
DR. RICHARD LEE STOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1233 N NORTHWOOD CENTER CT STE 101, COEUR D ALENE, ID 83814
(208) 457-4211
(208) 773-1473
Mailing address
1233 N NORTHWOOD CENTER CT STE 101, COEUR D ALENE, ID 83814-6190
(208) 457-4211
(208) 773-1473
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
10187A
WY
207X00000X
Orthopaedic Surgery Physician
Primary
M-14713
ID
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
M-14713
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871728493
—
ID
Enumeration date
05/27/2009
Last updated
03/16/2020
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