Mind and Body Restored
Mind and Body Restored is an Addiction Medicine (Family Medicine) Physician in Coeur D Alene, Idaho. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
913 W Canfield AveCoeur D Alene, ID 83815-9764
Phone: (208) 957-7808
Fax: (949) 695-2456
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pain Medicine Physician (primary) | Taxonomy 208VP0000X |
|---|---|
| Addiction Medicine (Family Medicine) Physician | Taxonomy 207QA0401X |
Record details
| NPI number | 1295420651 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jana Quall — Np · (208) 957-7808 |
| NPI enumerated | April 10, 2023 |
| Last updated in NPPES | December 5, 2023 |
| Certification date | December 5, 2023 |
| Mailing address | 3117 W Augustin Dr, Coeur D Alene, ID 83815-5362 |
Other providers in Coeur D Alene
-
Rathdrum Clinic, Inc
913 W Canfield Ave, Coeur D Alene, ID 83815-9764 · (208) 819-7103