EDWARD GERARD DETAR

COEUR D ALENE, ID
NPI1194706465
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208600000X Surgery
(Licence: ID  M-9855)
Enumeration Date2005-11-14
Last Update Date2020-10-02
Business Address
Dr. EDWARD GERARD DETAR MD
700 W IRONWOOD DR STE 341
COEUR D ALENE, ID 83814-4404
Phone number: 208-625-5200
Mailing Address
Dr. EDWARD GERARD DETAR MD
700 W IRONWOOD DR SUITE 304
COEUR D ALENE, ID 83814-2656
Phone number: 208-625-5200
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