-- STACY DIANE OSTLER -- MD
Individual Provider (NPI-1)
Active
Physical Medicine & Rehabilitation
Provider Information
- NPI Number
1649242025- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 875 E PLAZA DR STE 103, EAGLE, ID, 836166549
- Phone
- (208) 229-7075
Specialties & Taxonomies
Physical Medicine & Rehabilitation, Pain Medicine
License: CA #A68685
Physical Medicine & Rehabilitation
Primary License: ID #M-9953
Physical Medicine & Rehabilitation, Pain Medicine
License: WA #MD00049170