NPI 1023780376

Northwest Physicians and Surgeons

Organisation Foot & Ankle Surgery Podiatrist Coeur D Alene, ID

Practice location

Address: 850 W Ironwood Dr STE 301, Coeur D Alene, ID 83814-4903
Phone: (208) 667-9762
Fax: (208) 765-1041

Authorised official

Name: Cory Averill Johnson
Title: Owner/Provider
Phone: (208) 667-9762

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X

Other Podiatrist providers in Idaho →

Registry record

NPI: 1023780376
Entity type: Organization
NPI issued: 4 Oct 2021
Record last updated: 4 Oct 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.