Van Martin Stonehocker, PA-C
Physician Assistant in Bonners Ferry, ID. Individual provider (NPI-1).
NPI number1649892829
StatusActive
Last updated in NPPESJan 16, 2025
Details
- NPI
- 1649892829
- Entity type
- Individual (NPI-1)
- Name
- Van Martin Stonehocker
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 11, 2020
- Certification date
- Jan 16, 2025
- Last updated
- Jan 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA-2040 | ID | Yes |
Practice location
6641 Kaniksu StBonners Ferry, ID 83805-7532
Phone 208-267-3655 · Fax 208-267-3757
Mailing address
6641 Kaniksu StBonners Ferry, ID 83805-7532
Phone 208-267-3655 · Fax 208-267-3757
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Other Physician Assistant providers in Bonners Ferry, ID
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- Jordan Thomas Lauby, PA-CNPI 1659147544
- Kendell Ann Simm, PA-CNPI 1811936545
All 7 Physician Assistant providers in Bonners Ferry · All 199 providers in Bonners Ferry
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