Gammon, Stanford Benjamin
Gammon, Stanford Benjamin is an individual health care provider with primary practice located at 3345 Potomac Way , Idaho Falls ID 83404-4978. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Gammon, Stanford Benjamin can be contacted via phone (208) 552-7572.Contact Information
Primary practice address
3345 Potomac Way
Idaho Falls ID 83404-4978
Phone: (208) 552-7572
Fax: (208) 552-7312
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA-1328 | Idaho |
Profile Details
| NPI number | 1477992592 |
|---|---|
| LBN Legal business name | Gammon, Stanford Benjamin |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2013 |
| Last updated | Jul 7th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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