Whalio Doctors

NPI 1255621793

Mitchael Conrad Steorts, MD

Practitioner Pediatric Adolescent Medicine Physician Ammon, ID

Practice location

Address
3067 Eagle Dr, Ammon, ID 83406-1273
Phone
(208) 522-4600
Fax
(208) 552-7521

Registered specialties

Pediatric Adolescent Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2080A0000X Licence TL-4030 (ID)

Registry record

NPI
1255621793
Entity type
Individual
Sex (as registered)
Male
NPI issued
18 Apr 2011
Record last updated
19 Nov 2020

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.