SHANA D FOGARTY

COEUR D ALENE, ID
NPI1104879899
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: ID  M8664)
Additional Taxonomies207Q00000X Family Medicine
(Licence: WA  MD61238314)
207QH0002X Family Medicine, Hospice and Palliative Medicine
(Licence: WA  MD61238314)
208M00000X Hospitalist
(Licence: WA  MD61238314)
Enumeration Date2006-05-17
Last Update Date2021-12-22
Business Address
SHANA D FOGARTY M.D.
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814-6051
Phone number: 208-625-5085
Mailing Address
SHANA D FOGARTY M.D.
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814-6051
Phone number: 208-625-5085