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Coeur Vitality Pllc
Clinic/Center in Coeur D Alene, Idaho
NPI 1316574700

Coeur Vitality Pllc is a Clinic/Center based in Coeur D Alene, ID. Coeur Vitality Pllc practices in Coeur D Alene, ID. The NPI Number for Coeur Vitality Pllc is 1316574700 and holds a License No. (Idaho).

The current practice location address for Coeur Vitality Pllc is 110 E Wallace Ave, Coeur D Alene, ID and can be reached out via phone at 208-651-9791. You can also correspond with Coeur Vitality Pllc through the mailing address at 110 E WALLACE AVE, COEUR D ALENE, ID - 83814-2948 (mailing address contact number: 208-651-9791).

Location: 110 E Wallace Ave, Coeur D Alene, ID, 83814-2948
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316574700
Provider Name
Coeur Vitality Pllc
Credential
Provider Entity Type
Organization
Address
110 E Wallace Ave, Coeur D Alene, ID, 83814-2948
Phone Number
208-651-9791
Fax Number
Provider Enumeration Date
03/25/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
110 E Wallace Ave
City
Coeur D Alene
State
Idaho
Zip
83814-2948
Phone Number
208-651-9791
Fax Number
person
Provider Business Mailing Address Details
Address
110 E Wallace Ave
City
Coeur D Alene
State
Idaho
Zip
83814-2948
Phone Number
208-651-9791
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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