COEUR OBSTETRICS AND GYNECOLOGY, 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 OBSTETRICS AND GYNECOLOGY, PLLC NPI is 1730280744. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is D. Anthony & R. Randel Henneberg, Ptr's.
The provider's business location address is:
980 W IRONWOOD DR STE 201
COEUR D ALENE, ID
ZIP 83814-668
Phone: (208) 765-4888
The provider's authorized official is Andrew Anthony Henneberg .
The authorized official title is Owner/md and has the following contact phone number (208) 765-4888.
The CLIA number assigned to this NPI record is 13D0699570 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 9/25/2006 and was last updated on 5/14/2020.