NPI 1336285345

Dale Justin Stormogipson, MD

Practitioner Ophthalmology Physician Coeur D Alene, ID

Practice location

Address: 1814 Lincoln Way, Coeur D Alene, ID 83814-2540
Phone: (208) 667-2531
Fax: (208) 765-9385

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence M5936 (ID)

Other Ophthalmology providers in Idaho →

Registry record

NPI: 1336285345
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jan 2007
Record last updated: 6 Jul 2010

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.