| NPI |
Provider Name |
Address |
Type |
| 1558931691 | COEUR D'ALENE WIGS LLC | 296 W SUNSET AVE STE 17
COEUR D ALENE, ID
ZIP 83815
Phone: (208) 551-2761
| Organization |
| 1033403886 | CHRISTOPHER PAUL MOORE, CPO | 2204 IRONWOOD PL
SUITE A
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 765-0597
| Individual |
| 1568514396 | MR. DOUGLAS S POTTER, CPO | 2526 E GUNNISON PL
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 765-8561
| Individual |