NPI 1164903076

Emma Stayduhar

Practitioner Physical Medicine & Rehabilitation Physician Kellogg, ID

Practice location

Address: 25 Jacobs Gulch Rd, Kellogg, ID 83837-2023
Phone: (208) 784-4603

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence PT3839 (ID)

Other Physical Medicine & Rehabilitation providers in Idaho →

Registry record

NPI: 1164903076
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Aug 2018
Record last updated: 28 Aug 2018

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.