NPI 1255176061

Restoration Woundcare Medical Group, P.A.

Organisation General Practice Physician Coeur D Alene, ID

Practice location

Address: 2139 N Main St, Coeur D Alene, ID 83814-5768
Phone: (208) 930-1000
Fax: (877) 376-4040

Authorised official

Name: Jana Hull
Title: Chief Administrative Officer
Phone: (208) 930-1000

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Idaho →

Registry record

NPI: 1255176061
Entity type: Organization
NPI issued: 25 Jun 2024
Record last updated: 3 Mar 2025

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.