specializing in family medicine in Hayden, Idaho

NPI: 1699407478

Provider Type

2

Practice Locations

Mailing Location

PO BOX 1387

HAYDEN, ID 83835

📞 2084150299

Practice Location

1809 E SHERMAN AVE

COEUR D ALENE, ID 83814

📞 2086659612

📠 2086350473

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:6/29/2022
Last Updated:4/21/2023

Credentials

Primary Credential: