Individual
REBECCA HADDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2426 N MERRITT CREEK LOOP STE A, COEUR D ALENE, ID 83814-4961
(208) 819-2183
(208) 209-6063
Mailing address
12657 N KENOSHA LN APT J303, RATHDRUM, ID 83858-7477
(412) 841-3114
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2271971
ID
363A00000X
Physician Assistant
PA70037722
WA
Other
Enumeration date
11/15/2021
Last updated
10/02/2025
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