NPI 1205816782
Jamie Glen House, MD
Practice location
- Address
- 700 W Ironwood Dr STE 158, Coeur D Alene, ID 83814-4404
- Phone
- (208) 625-5100
- Fax
- (208) 625-5101
Registered specialties (2)
Physical Medicine & Rehabilitation Physician
Primary
Physical Medicine & Rehabilitation Physician
Registry record
- NPI
- 1205816782
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 19 Jan 2006
- Record last updated
- 18 Mar 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.