Benjamin Stockton, MD
Family Medicine in Boise, ID. Individual provider (NPI-1).
NPI number1124476072
StatusActive
Last updated in NPPESApr 7, 2021
Details
- NPI
- 1124476072
- Entity type
- Individual (NPI-1)
- Name
- Benjamin Stockton
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 1, 2016
- Certification date
- Apr 7, 2021
- Last updated
- Apr 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | M14205 | ID | Yes |
| 207Q00000X | Family Medicine | MRM-1586 | ID |
Practice location
777 N Raymond StBoise, ID 83704-9251
Phone 208-514-2500 · Fax 208-375-2217
Mailing address
Po Box 2160Sandpoint, ID 83864-0908
Phone 208-263-7101
Other practice locations
30410 Highway 200
Ponderay, ID 83852
Ponderay, ID 83852
Phone 208-263-7101
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