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Organization
ASSOCIATED INTERNAL MEDICINE PA
Active
Organization
ASSOCIATED INTERNAL MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN MARIE DAUGHARTY FOWLER MD (MD OWNER)
(208) 667-1200
Entity
Organization
Contact information
Practice address
2207 IRONWOOD PL, COEUR D ALENE, ID 83814
(208) 667-1200
(208) 667-3994
Mailing address
2207 IRONWOOD PL, COEUR D ALENE, ID 83814
(208) 667-1200
(208) 667-3994
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M5531
ID
363A00000X
Physician Assistant
Primary
PA573
ID
Other
Enumeration date
03/06/2007
Last updated
09/11/2025
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