NPI 1689977159

Providence Health & Services

Organisation Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Coeur D Alene, ID

Practice location

Address: 700 W Ironwood Dr Suite 350, Coeur D Alene, ID 83814-2656
Phone: (208) 676-9913
Fax: (208) 666-0885
Mailing address: PO Box 3776, Seattle, WA 98124-3776

Authorised official

Name: Karen Duncan
Title: Sr Directory of Revenue Cycle Mngmt
Phone: (425) 254-5362

Registered specialties

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208G00000X

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Registry record

NPI: 1689977159
Entity type: Organization
NPI issued: 6 Dec 2010
Record last updated: 6 Dec 2010

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.