PETER GORDON GOURLEY

COEUR D ALENE, ID
NPI1114961240
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: WA  AP30005913)
Enumeration Date2006-06-16
Last Update Date2016-02-11
Business Address
PETER GORDON GOURLEY ARNP
1130 W PRAIRIE AVE
COEUR D ALENE, ID 83815-8780
Phone number: 208-209-0288
Mailing Address
PETER GORDON GOURLEY ARNP
2481 HALLEBERRY
HAYDEN, ID 83835-8339
Phone number: 509-989-7764
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