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NPI Verification

National Provider Identifier: 1699805994

Associated Internal Medicine PA

Organization

Primary Specialty

Physician Assistant

Code: 363A00000X

All Specialties (2)

Internal Medicine

Code: 207R00000X

Physician Assistant

Code: 363A00000X

Primary

Practice Address

2207 IRONWOOD PL

COEUR D ALENE, ID 83814

Phone: 208-667-1200

NPI Enumeration Date

March 6, 2007

NPI Number

1699805994

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry