# ASSOCIATED INTERNAL MEDICINE PA

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

## Provider details

- **NPI number:** 1699805994
- **Authorized official:** DR. SUSAN MARIE DAUGHARTY FOWLER MD (MD OWNER)
- **Authorized official phone:** (208) 667-1200

## Contact information

- **Practice address:** 2207 IRONWOOD PL, COEUR D ALENE, ID 83814
- **Practice address phone:** (208) 667-1200
- **Practice address fax:** (208) 667-3994
- **Mailing address:** 2207 IRONWOOD PL, COEUR D ALENE, ID 83814
- **Mailing address phone:** (208) 667-1200
- **Mailing address fax:** (208) 667-3994

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | M5531 | ID | — |
| 363A00000X | Physician Assistant | PA573 | ID | Yes |

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 09/11/2025