North Idaho Gastroenterology Pllc | |
1607 Lincoln Way Suite 200 Coeur D'alene ID 83814-2476 | |
(208) 667-5483 | |
(208) 667-7062 |
Full Name | North Idaho Gastroenterology Pllc |
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Speciality | Internal Medicine - Gastroenterology |
Location | 1607 Lincoln Way, Coeur D'alene, Idaho |
Authorized Official Name and Position | Stanley A. Toelle (ADMINISTRATOR) |
Authorized Official Contact | 2086675483 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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North Idaho Gastroenterology Pllc 1607 Lincoln Way Suite 200 Coeur D'alene ID 83814-2476 Ph: (208) 667-5483 | North Idaho Gastroenterology Pllc 1607 Lincoln Way Suite 200 Coeur D'alene ID 83814-2476 Ph: (208) 667-5483 |
NPI Number | 1578828935 |
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Provider Enumeration Date | 07/11/2012 |
Last Update Date | 07/13/2012 |
Identifier | Type | State | Issuer |
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1578828935 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |