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Shari Vandyke Montandon, DO
Student in an Organized Health Care Education/Training Program in Coeur D Alene, Idaho
NPI 1326280769

Shari Vandyke Montandon is a Student in an Organized Health Care Education/Training Program based in Louisville, ID. Shari Vandyke Montandon practices in Coeur D Alene, ID and has the professional credentials of DO. The NPI Number for Shari Vandyke Montandon is 1326280769 and holds a License No. O0945 (Idaho).

The current practice location address for Shari Vandyke Montandon is 714 W Appleway Ave Ste 200, Coeur D Alene, ID and can be reached out via phone at 208-665-1552.

Location: 714 W Appleway Ave Ste 200, Coeur D Alene, ID, 40202-1622
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326280769
Provider Name
Shari Vandyke Montandon
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
714 W Appleway Ave Ste 200, Coeur D Alene, ID, 40202-1622
Phone Number
208-665-1552
Fax Number
Provider Enumeration Date
03/31/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
714 W Appleway Ave Ste 200
City
Coeur D Alene
State
Idaho
Zip
83814-9330
Phone Number
208-665-1552
Fax Number
person
Provider Business Mailing Address Details
Address
714 W Appleway Ave Ste 200
City
Coeur D Alene
State
Idaho
Zip
83814-9330
Phone Number
208-665-1552
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Allergy & Immunology
Taxonomy
207RA0201X
License No.
()
Definition
An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
O0945 (Idaho)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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