# DOC-SIDE MEDICAL GROUP PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629138656
- **Authorized official:** DR. STEVEN C PUFFER M.D. (OWNER)
- **Authorized official phone:** (208) 263-3111

## Contact information

- **Practice address:** 502 N 2ND AVE, SUITE A, SANDPOINT, ID 83864-1558
- **Practice address phone:** (208) 263-3111
- **Practice address fax:** (208) 265-0427
- **Mailing address:** 502 N 2ND AVE, SUITE A, SANDPOINT, ID 83864-1558
- **Mailing address phone:** (208) 263-3111
- **Mailing address fax:** (208) 265-0427

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | M-3276 | ID | Yes |

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 08/22/2020