1041C0700X
Coeur D Alene, ID
Specialty
1041C0700X
NPI
1831110568
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 1041c0700x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 1041C0700X