NPI 1306886767

Stan a Eisele, MD

Practitioner Internal Medicine Physician Eagle, ID

Practice location

Address: 323 E Riverside Dr STE 224, Eagle, ID 83616
Phone: (208) 302-6000
Fax: (208) 302-6055
Mailing address: 3340 E Goldstone Way, Meridian, ID 83642

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence M8628 (ID)

Other Internal Medicine providers in Idaho →

Registry record

NPI: 1306886767
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jun 2006
Record last updated: 11 Apr 2019

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.