363LP2300X
Coeur D Alene, ID
Specialty
363LP2300X
Credential
ARNP
NPI
1972944866
1686 W. Riverstone Dr, Coeur D Alene, ID 83814
(208) 765-4807Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 363lp2300x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 363LP2300X