| North Idaho Gastroenterology Pllc | |
|
1607 Lincoln Way Suite 200 Coeur D'alene ID 83814-2476 | |
| (208) 667-5483 | |
| (208) 667-7062 |
| Full Name | North Idaho Gastroenterology Pllc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1607 Lincoln Way, Coeur D'alene, Idaho |
| Authorized Official Name and Position | Stanley A. Toelle (ADMINISTRATOR) |
| Authorized Official Contact | 2086675483 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Idaho Gastroenterology Pllc 1607 Lincoln Way Suite 200 Coeur D'alene ID 83814-2476 Ph: (208) 667-5483 | North Idaho Gastroenterology Pllc 1607 Lincoln Way Suite 200 Coeur D'alene ID 83814-2476 Ph: (208) 667-5483 |
| NPI Number | 1578828935 |
|---|---|
| Provider Enumeration Date | 07/11/2012 |
| Last Update Date | 07/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578828935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |