IndividualActive
John Stuntz
NPI 1871223008 · Surgical Physician Assistant · Pocatello, ID
Provider details
- NPI number
- 1871223008
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- PA.0007563 (CO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
921 S 8th Ave Stop 8253
Pocatello, ID 83209-0002
Phone: (208) 282-4726
Approximate (ZIP-level) locationGet directions
Mailing address
921 S 8th Ave Stop 8253
Pocatello, ID 83209-0002
Registry dates
- Enumerated
- 2022-06-11
- Last updated
- 2022-10-03
- Certified
- 2022-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.