| Allan W, Stevenson Dds Pc | |
|
206 Grove Ave Parma ID 83660 | |
| (208) 722-6400 | |
| (208) 722-9016 |
| Full Name | Allan W, Stevenson Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 206 Grove Ave, Parma, Idaho |
| Authorized Official Name and Position | Allan Walker Stevenson (PRESIDENT) |
| Authorized Official Contact | 2087226400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allan W, Stevenson Dds Pc 206 Grove Ave Po Box 420 Parma ID 83660 Ph: (208) 722-6400 | Allan W, Stevenson Dds Pc 206 Grove Ave Parma ID 83660 Ph: (208) 722-6400 |
| NPI Number | 1760531214 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760531214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D3204 (Idaho) | Primary |