PETER GORDON GOURLEY

COEUR D ALENE, ID
NPI1114961240
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA  AP30005913)
Enumeration Date2006-06-16
Last Update Date2025-01-06
Business Address
PETER GORDON GOURLEY ARNP
1111 W IRONWOOD DR STE B
COEUR D ALENE, ID 83814-2604
Phone number: 208-664-1594
Mailing Address
PETER GORDON GOURLEY ARNP
2481 HALLEBERRY
HAYDEN, ID 83835-8339
Phone number: 509-989-7764
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