NPI 1396816096

Frederick P Ambrose, MD

Practitioner Gynecologic Oncology Physician Coeur D Alene, ID

Practice location

Address: 980 W Ironwood Drive Suite 306, Coeur D Alene, ID 83814-2601
Phone: (208) 664-3101
Fax: (208) 664-9713
Mailing address: 980 W Ironwood Drive Suite 306, Coeur D Alene, ID 83814-2668

Registered specialties

Gynecologic Oncology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207VX0201X Licence M3731 (ID)

Other Obstetrics & Gynecology providers in Idaho →

Registry record

NPI: 1396816096
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Nov 2006
Record last updated: 8 Jul 2007

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.