NPI 1407056237

Canfield Family Medical Group LLC

Organisation Specialist Coeur D Alene, ID

Practice location

Address: 700 W Ironwood Dr Suite 234, Coeur D Alene, ID 83814-2656
Phone: (208) 765-4808
Fax: (208) 676-9824

Authorised official

Name: Janice Adele Lindstrom
Title: Owner
Phone: (208) 765-4808

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence M8963 (ID)

Other Specialist providers in Idaho →

Registry record

NPI: 1407056237
Entity type: Organization
NPI issued: 19 Jul 2007
Record last updated: 19 Jul 2007

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.