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Coeur D'alene Surgical And Vein
Medical Specialty Clinic/Center in Coeur D Alene, Idaho
NPI 1225368632

Coeur D'alene Surgical And Vein is a Medical Specialty Clinic/Center based in Coeur D Alene, ID and is specialized in Medical Specialty. Coeur D'alene Surgical And Vein practices in Coeur D Alene, ID. The NPI Number for Coeur D'alene Surgical And Vein is 1225368632 and holds a License No. M-7963 (Idaho).

The current practice location address for Coeur D'alene Surgical And Vein is 608 Northwest Blvd, Coeur D Alene, ID and can be reached out via phone at 208-664-4940 and via fax at 208-664-5345.

Location: 608 Northwest Blvd, Coeur D Alene, ID, 83814-2174
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225368632
Provider Name
Coeur D'alene Surgical And Vein
Credential
Provider Entity Type
Organization
Address
608 Northwest Blvd, Coeur D Alene, ID, 83814-2174
Phone Number
208-664-4940
Fax Number
208-664-5345
Provider Enumeration Date
01/06/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
608 Northwest Blvd
City
Coeur D Alene
State
Idaho
Zip
83814-2174
Phone Number
208-664-4940
Fax Number
208-664-5345
person
Provider Business Mailing Address Details
Address
608 Northwest Blvd
City
Coeur D Alene
State
Idaho
Zip
83814-2174
Phone Number
208-664-4940
Fax Number
208-664-5345
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
M-7963 (Idaho)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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