Whalio Doctors

NPI 1104879899

Shana D Fogarty, MD

Practitioner Hospitalist Physician Coeur D Alene, ID

Practice location

Address
2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051
Phone
(208) 625-5085
Fax
(208) 625-5731

Registered specialties (4)

Hospitalist Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208M00000X Licence M8664 (ID)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence MD61238314 (WA)
Hospice and Palliative Medicine (Family Medicine) Physician
Allopathic & Osteopathic Physicians Taxonomy 207QH0002X Licence MD61238314 (WA)
Hospitalist Physician
Allopathic & Osteopathic Physicians Taxonomy 208M00000X Licence MD61238314 (WA)

Registry record

NPI
1104879899
Entity type
Individual
Sex (as registered)
Female
NPI issued
17 May 2006
Record last updated
22 Dec 2021

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.