LIFESTAGES OB-GYN PLLC NPI 1871618892

NPI Information

LIFESTAGES OB-GYN PLLC is an obstetrics gynecology in Nampa, ID. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. LIFESTAGES OB-GYN PLLC NPI is 1871618892. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1611 12TH AVE RD STE B
NAMPA, ID
ZIP 83686-182
Phone: (208) 442-8035
Fax: (208) 442-8038

The provider's authorized official is Dustan Hughes .
The authorized official title is Owner and has the following contact phone number (208) 442-8038.

The CLIA number assigned to this NPI record is 13D1039565 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/20/2007 and was last updated on 4/22/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.