RONNIE DANIEL MANTILLA

COEUR D ALENE, ID
NPI1164785549
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
(Licence: ID  M15022)
Enumeration Date2012-06-20
Last Update Date2020-02-12
Business Address
RONNIE DANIEL MANTILLA M.D.
700 W IRONWOOD DR STE 378
COEUR D ALENE, ID 83814-4401
Phone number: 208-625-3555
Mailing Address
RONNIE DANIEL MANTILLA M.D.
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814-6051
Phone number: 208-625-3555
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