NPI 1144646126
Stem Cell Centers of Idaho PC
Practice location
- Address
- 1341 N Northwood Center CT STE B, Coeur D Alene, ID 83814-2471
- Phone
- (208) 771-7054
- Mailing address
- 223 W Ironwood Dr, Coeur D Alene, ID 83814-2651
Authorised official
- Name
- Emily Autor
- Title
- Owner/President
- Phone
- (509) 808-0708
Registered specialties
Physical Medicine & Rehabilitation Physician
Primary
Registry record
- NPI
- 1144646126
- Entity type
- Organization
- NPI issued
- 13 Mar 2014
- Record last updated
- 23 Jun 2020
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.