Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STUART CHARLES GOLDSTEIN
Active Sole ProprietorPublic Health & General Preventive Medicine · MOSCOW, ID
Registration Details
- NPI Number
- 1013674837
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 29, 2021 (4.3914712472847 yrs)
- Last Updated
- Nov 29, 2021
- License
-
M-6713 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1010 RANCH RDMOSCOW, ID, 838437484Browse ID providers · Browse ZIP 83843
- Phone
- 2083102125
- Primary Specialty
-
Public Health & General Preventive Medicine
2083P0901X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.