NPI 1639749633
Stephen Shitara, RRT
Practice location
- Address
- 500 W Fort St, Boise, ID 83702-4501
- Phone
- (208) 422-1000
Registered specialties
Registered Respiratory Therapist
Primary
Registry record
- NPI
- 1639749633
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 30 Jun 2021
- Record last updated
- 30 Jun 2021
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.