DR. Stan A Eisele, MD

NPI #1306886767 in Eagle, Idaho

Provider Information

NPI Number: 1306886767
Entity Type: Individual
Name: DR. Stan A Eisele, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Jun 7, 2006
Last Updated: Apr 11, 2019

Practice Location

Address: 323 E RIVERSIDE DR STE 224
City: Eagle
State: Idaho
ZIP Code: 83616
Phone: (208) 302-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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