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NPI Code Detail

MEDICARE: SEAN THOMAS STRINGHAM MD

MEDICARE:   SEAN THOMAS STRINGHAM  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2208000000XPediatrics PhysicianM-17278ID

General Provider Information

NPI Number : 1588292734
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEAN THOMAS STRINGHAM MD
Provider Business Mailing Address
First Line : PO BOX 190930
Second Line :
City : BOISE
State : ID
Zip : 83719-0930
Country : US
Telephone Number : 208-367-8517
Fax Number : 208-367-5180
Provider Business Practice Location Address
First Line : 1150 N SISTER CATHERINE WAY
Second Line :
City : NAMPA
State : ID
Zip : 83687-3133
Country : US
Telephone Number : 208-302-7000
Fax Number : 208-302-7055
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2020
Last Update Date : 06/23/2023

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Directions to “ SEAN THOMAS STRINGHAM MD” Practice Location

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