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1215936638
NORTH IDAHO DERMATOLOGY, P.A.
COEUR D ALENE, ID
NPI
1215936638
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Entity Type
Organization
Authorized Contact
STEPHEN D. CRAIG
Owner
208-665-7546
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2005-07-18
Last Update Date
2019-01-30
Business Address
NORTH IDAHO DERMATOLOGY, P.A.
2199 N MERRITT CREEK LOOP
COEUR D ALENE, ID 83814-4949
Phone number: 208-665-7546
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Mailing Address
NORTH IDAHO DERMATOLOGY, P.A.
2199 N MERRITT CREEK LOOP
COEUR D ALENE, ID 83814-4949
Phone number: 208-665-7546
Copy
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