| Dr Dale Justin Stormogipson, MD | |
|
1814 Lincoln Way, Coeur D Alene, ID 83814-2540 | |
| (208) 667-2531 | |
| (208) 765-9385 |
| Full Name | Dr Dale Justin Stormogipson |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 1814 Lincoln Way, Coeur D Alene, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336285345 | NPI | - | NPPES |
| 002694100 | Medicaid | ID | |
| 15180003516 | Other | NORTH IDAHO CATARACT & LA | |
| 000010006023 | Other | ID | REGENCE BLUE SHIELD OF ID |
| DX761 | Other | ID | BLUE CROSS OF IDAHO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | M5936 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dale Justin Stormogipson, MD 1814 Lincoln Way, Coeur D Alene, ID 83814-2540 Ph: (208) 667-2531 | Dr Dale Justin Stormogipson, MD 1814 Lincoln Way, Coeur D Alene, ID 83814-2540 Ph: (208) 667-2531 |
David Gerald Dance, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1814 Lincoln Way, Coeur D Alene, ID 83814 Phone: 208-667-2531 | |
Dr. David Anton Wold, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1814 Lincoln Way, Coeur D Alene, ID 83814 Phone: 208-667-2531 Fax: 208-765-9385 | |
Sara Duke, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1814 Lincoln Way, Coeur D Alene, ID 83814 Phone: 208-667-2531 Fax: 208-665-5839 | |
Dr. Patrick John Parden, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1814 Lincoln Way, Coeur D Alene, ID 83814 Phone: 208-667-2531 Fax: 208-765-9385 | |
Dr. Stephen A Moss, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1814 Lincoln Way, Coeur D Alene, ID 83814 Phone: 208-667-2531 Fax: 208-765-9385 | |
Dr. Roderick Sidney Kent, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1814 Lincoln Way, Coeur D Alene, ID 83814 Phone: 208-667-2531 Fax: 208-765-9385 |