SALVATORE DI RAFFAELE

COEUR D ALENE, ID
NPI1154472256
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  2005)
Additional Taxonomies363A00000X Physician Assistant
(Licence: CA  14822)
363AM0700X Physician Assistant, Medical
(Licence: ID  2005)
Enumeration Date2007-01-15
Last Update Date2023-07-10
Business Address
Dr. SALVATORE DI RAFFAELE PA-C, D.C.
1090 W PARK PL
COEUR D ALENE, ID 83814-2785
Phone number: 208-415-0299
Mailing Address
Dr. SALVATORE DI RAFFAELE PA-C, D.C.
PO BOX 1387
HAYDEN, ID 83835-1387
Phone number: 208-415-0299