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O'neill Clinic, P.a.
Health Service Clinic/Center in Coeur D Alene, Idaho
NPI 1699932509

O'neill Clinic, P.a. is a Health Service Clinic/Center based in Coeur D Alene, ID and is specialized in Health Service. O'neill Clinic, P.a. practices in Coeur D Alene, ID. The NPI Number for O'neill Clinic, P.a. is 1699932509 and holds a License No. CHIA469 (Idaho).

The current practice location address for O'neill Clinic, P.a. is 1617 Lincoln Way, Coeur D Alene, ID and can be reached out via phone at 208-664-5000 and via fax at 208-667-8098.

Location: 1617 Lincoln Way, Coeur D Alene, ID, 83814-2422
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699932509
Provider Name
O'neill Clinic, P.a.
Credential
Provider Entity Type
Organization
Address
1617 Lincoln Way, Coeur D Alene, ID, 83814-2422
Phone Number
208-664-5000
Fax Number
208-667-8098
Provider Enumeration Date
05/19/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C4694 01 ID BLUE CROSS
31546 01 ID REGENCE BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1617 Lincoln Way
City
Coeur D Alene
State
Idaho
Zip
83814-2422
Phone Number
208-664-5000
Fax Number
208-667-8098
person
Provider Business Mailing Address Details
Address
1617 Lincoln Way
City
Coeur D Alene
State
Idaho
Zip
83814-2422
Phone Number
208-664-5000
Fax Number
208-667-8098
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
CHIA469 (Idaho)
Definition
Definition to come...
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