Stanley Mogelson, M.D.

NPI #1134169501 in Twin Falls, Idaho

Provider Information

NPI Number: 1134169501
Entity Type: Individual
Name: Stanley Mogelson, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: Jun 7, 2006
Last Updated: Apr 14, 2008

Practice Location

Address: 660 SHOSHONE ST E
Address 2: SUITE 110
City: Twin Falls
State: Idaho
ZIP Code: 83301-6110
Phone: (208) 732-3380

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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