NPI 1194706465

Edward Gerard Detar, MD

Practitioner Surgery Physician Coeur D Alene, ID

Practice location

Address: 700 W Ironwood Dr STE 341, Coeur D Alene, ID 83814-4404
Phone: (208) 625-5200
Fax: (208) 625-5201
Mailing address: 700 W Ironwood Dr Suite 304, Coeur D Alene, ID 83814-2656

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence M-9855 (ID)

Other Surgery providers in Idaho →

Registry record

NPI: 1194706465
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Nov 2005
Record last updated: 14 Apr 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.