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Organization
KOOTENAI URGENT CARE, LLC
Active
Organization
KOOTENAI URGENT CARE, LLC
Active
Other names
Kootenai Occupational Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC KOELSCH (ADMINISTRATOR)
(208) 620-3823
Entity
Organization
Contact information
Practice address
700 W IRONWOOD DR, SUITE 202, COEUR D ALENE, ID 83814-2656
(208) 292-2959
Mailing address
700 W IRONWOOD DR, SUITE 272E, COEUR D ALENE, ID 83814-2656
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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