| Doc-side Medical Group Pc | |
|
502 N 2nd Ave Suite A Sandpoint ID 83864-1558 | |
| (208) 263-3111 | |
| (208) 265-0427 |
| Full Name | Doc-side Medical Group Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 502 N 2nd Ave, Sandpoint, Idaho |
| Authorized Official Name and Position | Steven C Puffer (OWNER) |
| Authorized Official Contact | 2082633111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Doc-side Medical Group Pc 502 N 2nd Ave Suite A Sandpoint ID 83864-1558 Ph: (208) 263-3111 | Doc-side Medical Group Pc 502 N 2nd Ave Suite A Sandpoint ID 83864-1558 Ph: (208) 263-3111 |
| NPI Number | 1629138656 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629138656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M-3276 (Idaho) | Primary |
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