Dr. Mitchael Conrad Steorts
Adolescent Medicine
3067 Eagle Dr
Ammon
, Idaho 83406-1273
Dr. Mitchael Conrad Steorts
Adolescent Medicine
3067 Eagle Dr
Ammon
, Idaho 83406-1273
(208) 552-7521
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Dr. Mitchael Conrad Steorts
- 3067 Eagle Dr
- Ammon, ID
- Zip : 83406-1273
- Fax : (208) 552-7521
- Phone : (208) 522-4600
Second Address
- Dr. Mitchael Conrad Steorts
- 3067 Eagle Dr
- Ammon, ID
- Zip : 83406-1273
- Fax : (208) 552-7521
- Phone : (208) 522-4600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | TL-4030 | ID |
National Provider Identifier
| NPI | 1255621793 |
|---|---|
| Provider Name | Dr. Mitchael Conrad Steorts |
| First Address | Ammon, ID 83406-1273 |
| Second Address | Ammon, ID 83406-1273 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/04/2011 |
| Last Update Date | 19/11/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.