COEUR D ALENE SPINE AND BRAIN PLLC NPI 1588714489

NPI Information

COEUR D ALENE SPINE AND BRAIN PLLC is a specialist in Coeur D Alene, ID. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. COEUR D ALENE SPINE AND BRAIN PLLC NPI is 1588714489. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3320 N GRAND MILL LN
COEUR D ALENE, ID
ZIP 83814-689
Phone: (208) 765-9100
Fax: (208) 765-9103

The provider's authorized official is Lisa Rae Tansy .
The authorized official title is Administrator and has the following contact phone number (208) 765-9100.

The enumeration date for this NPI number is 1/11/2007 and was last updated on 2/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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