R. Randy Hopkins M.d. P.a | |
1607 Lincoln Way Suite 200 Coeur D'alene ID 83814 | |
(208) 667-5483 | |
(208) 667-7062 |
Full Name | R. Randy Hopkins M.d. P.a |
---|---|
Speciality | Internal Medicine - Gastroenterology |
Location | 1607 Lincoln Way, Coeur D'alene, Idaho |
Authorized Official Name and Position | R. Randy Hopkins (PRESIDENT) |
Authorized Official Contact | 2086675483 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
R. Randy Hopkins M.d. P.a 1607 Lincoln Way Suite 200 Coeur D'alene ID 83814 Ph: (208) 667-5483 | R. Randy Hopkins M.d. P.a 1607 Lincoln Way Suite 200 Coeur D'alene ID 83814 Ph: (208) 667-5483 |
NPI Number | 1871758805 |
---|---|
Provider Enumeration Date | 07/18/2008 |
Last Update Date | 10/31/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871758805 | NPI | - | NPPES |
804078300 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | M7187 (Idaho) | Secondary |
207RG0100X | Internal Medicine - Gastroenterology | M7187 (* (Not Available)) | Primary |