NPI 1588714489

Coeur D Alene Spine and Brain PLLC

Organisation Specialist Coeur D Alene, ID

Practice location

Address: 3320 N Grand Mill Ln, Coeur D Alene, ID 83814-5689
Phone: (208) 765-9100
Fax: (208) 765-9103

Authorised official

Name: Lisa Rae Tansy
Title: Administrator
Phone: (208) 765-9100

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence M8677 (ID)

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Registry record

NPI: 1588714489
Entity type: Organization
NPI issued: 11 Jan 2007
Record last updated: 23 Feb 2023

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.