| NPI | 1922431360 |
|---|---|
| Doing Business As | COEUR D ALENE PRIMARY CARE PLLC |
| Entity Type | Organization |
| Authorized Contact | BRANDON RICE Owner 208-667-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ID PA-431) |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2022-12-29 |