NPI 1922095397
John Christopher Stackow, MD
Practice location
- Address
- 1551 E Mullan Ave STE 102, Post Falls, ID 83854-9005
- Phone
- (208) 262-2328
- Fax
- (208) 619-5057
- Mailing address
- 1593 E Polston Ave, Post Falls, ID 83854-5326
Registered specialties (2)
Hospitalist Physician
Primary
Surgery Physician
Registry record
- NPI
- 1922095397
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 30 Sep 2005
- Record last updated
- 12 Dec 2024
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.