Coeur D'Alene Surgical and Vein
Coeur D'Alene Surgical and Vein is a Medical Specialty Clinic/Center in Coeur D Alene, Idaho. Licensed in Idaho. Registered with an NPI since 2010.
- Licensed in
- ID
- In the registry since
- 2010
Practice location Address checks out
608 NW Blvd Ste 301Coeur D Alene, ID 83814-2174
Phone: (208) 664-4940
Fax: (208) 664-5345
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Specialty Clinic/Center (primary) | Taxonomy 261QM2500X · Licence M-7963 (ID) |
|---|
Record details
| NPI number | 1225368632 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kevin Johnson — Managing Member · (208) 664-4940 |
| NPI enumerated | January 6, 2010 |
| Last updated in NPPES | March 20, 2013 |
| Mailing address | 608 Northwest Blvd, Suite 301, Coeur D Alene, ID 83814-2174 |
Other providers in Coeur D Alene
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5 Codes PC
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-
Melissa Androsov
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-
Spencer D Greendyke MD LLC
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