NPI 1205086089

Kootenai Surgery Associates PLLC

Organisation Surgery Physician Coeur D Alene, ID

Practice location

Address: 700 W Ironwood Dr Suite 304, Coeur D Alene, ID 83814-2656
Phone: (208) 667-1588
Fax: (208) 667-3788

Authorised official

Name: Timothy T Quinn
Title: Partner
Phone: (208) 667-1588

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X

Other Surgery providers in Idaho →

Registry record

NPI: 1205086089
Entity type: Organization
NPI issued: 29 Sep 2008
Record last updated: 30 Sep 2008

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.