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Organization
WOMENS CLINIC OF NORTH IDAHO
Active
Organization
WOMENS CLINIC OF NORTH IDAHO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK P AMBROSE M.D. (PRESIDENT)
(208) 664-3101
Entity
Organization
Contact information
Practice address
980 W IRONWOOD DRIVE, SUITE 306, COEUR D ALENE, ID 83814-2601
(208) 664-3101
(208) 664-9713
Mailing address
980 W IRONWOOD DRIVE, SUITE 306, COEUR D ALENE, ID 83814-2601
(208) 664-3101
(208) 664-9713
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002427200
—
ID
Enumeration date
11/01/2006
Last updated
01/18/2010
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