| Stock & Garn Llp | |
|
2200 Park Ave Suite 2 Burley ID 83318-2186 | |
| (208) 678-8188 | |
| (208) 678-3170 |
| Full Name | Stock & Garn Llp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2200 Park Ave, Burley, Idaho |
| Authorized Official Name and Position | Elaine Annette Hansen (OFFICE MANAGER) |
| Authorized Official Contact | 2086788188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stock & Garn Llp 2200 Park Ave Suite 2 Burley ID 83318-2186 Ph: (208) 678-8188 | Stock & Garn Llp 2200 Park Ave Suite 2 Burley ID 83318-2186 Ph: (208) 678-8188 |
| NPI Number | 1265607311 |
|---|---|
| Provider Enumeration Date | 04/29/2008 |
| Last Update Date | 04/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265607311 | NPI | - | NPPES |
| 002656300 | Medicaid | ID | |
| 804002700 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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