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Stephanie L Herald

  • Female

Medical Specialty

Professional ID

  • NPI: 1245663186
  • PECOS ID: 5395047773
  • Enrollment ID: I20151230002616
  • Credential(MD, DO, DPM):
  • Medical School: Michigan State University College Of Osteopathic Medicine
  • Medical School Graduation Year: 2011

Hospital Service

  • Hospital CCN1: 131323
  • Business Name (LBN)1: St Lukes Wood River Medical Center

Medical Practices

  • Organization Name: St Lukes Clinic - Wood River Llc
  • Group Practice ID assigned by PECOS: 3173783818
  • Number of Group Practice member: 46

Location

  • Address1: 1450 Aviation Dr
  • Address2:
  • City: Hailey
  • State: Idaho
  • Zip Code: 83333
  • Phone Number:

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):