specializing in internal medicine in Hayden, Idaho

NPI: 1619038346

Provider Type

2

Practice Locations

Mailing Location

PO BOX 238

HAYDEN, ID 83835

📞 2086511092

📠 8772340633

Practice Location

2003 LINCOLN WAY

KMC MED STAFF OFFICE

COEUR D ALENE, ID 83814

📞 2086511092

📠 8772340633

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:12/13/2006
Last Updated:8/22/2020

Credentials

Primary Credential:
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