Search › Idaho › 363LF0000X
David Sjostrand, NP-C
NPI 1053850164 · on the registry since 2017
Practice
- Address
- 124 5th St
Wilder, ID 83676 - Phone
- (208) 482-7430
- Fax
- (208) 585-6221
- Organisation at this address
- Hti Physican Services Of Utah,Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 163W00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho