NPI 1023367828
Stanley J Waters
Practice location
- Address
- 1795 S Sub Station Rd, Emmett, ID 83617-9431
- Phone
- (208) 870-2689
Authorised official
- Name
- Kathy Ann Buckley
- Title
- Rnfa
- Phone
- (208) 870-2689
Registered specialties
General Acute Care Hospital
Primary
Registry record
- NPI
- 1023367828
- Entity type
- Organization
- NPI issued
- 7 Sep 2012
- Record last updated
- 7 Sep 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.