specializing in physician assistant in Hayden, Idaho

NPI: 1396514931

Provider Type

2

Practice Locations

Mailing Location

1233 N NORTHWOOD CENTER CT STE 101

COEUR D ALENE, ID 83814

📞 2084574211

📠 2087731473

Practice Location

8552 N GOVERNMENT WAY

HAYDEN, ID 83835

📞 2084574211

📠 2087731473

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:12/22/2023
Last Updated:12/22/2023

Credentials

Primary Credential:
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