NPI 1366495178

Jonathan Craig Stevens, MD

Practitioner Neuromusculoskeletal Medicine & OMM Physician Ponderay, ID

Practice location

Address: 105 Vermeer Dr Unit 1, Ponderay, ID 83852-9802
Phone: (208) 266-1677
Fax: (208) 266-0440
Mailing address: PO Box 353, Clark Fork, ID 83811

Registered specialties (2)

Neuromusculoskeletal Medicine & OMM Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204D00000X Licence M7507 (ID)

Other Neuromusculoskeletal Medicine & OMM providers in Idaho →

Physical Medicine & Rehabilitation Physician

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence M7507 (ID)

Other Physical Medicine & Rehabilitation providers in Idaho →

Registry record

NPI: 1366495178
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 May 2006
Record last updated: 21 Jul 2022

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.