Individual provider · Type 1 NPI
David L. Stahlecker
Lodging Provider · Pocatello, ID
NPI number
1871310102
Active
Practice location
629 N Harrison Ave
Pocatello, ID 83204-2935
Mailing address
206 N Arthur Ave
Pocatello, ID 83204-3104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lodging Provider Primary | 177F00000X | None listed |
Lodging Provider: A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
Another provider at this address
About NPI 1871310102
David L. Stahlecker's National Provider Identifier is 1871310102, issued on Sep 26, 2024. The primary taxonomy on file is Lodging Provider (177F00000X), and the practice location is in Pocatello, ID. The record was last updated on Sep 26, 2024.