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Individual

TERENCE EARL NEFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
700 W IRONWOOD DR, SUITE 155, COEUR D ALENE, ID 83814-2656
(208) 667-0585
(208) 667-0876
Mailing address
700 W IRONWOOD DR, SUITE 155, COEUR D ALENE, ID 83814-2656
(208) 667-0585
(208) 667-0876

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M4886
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010004635
REGENCE BLUE SHIELD
ID
01
000010004636
REGENCE BLUE SHIELD
ID
05
002584700
ID
05
1011386
WA
01
48868
BLUE CROSS OF IDAHO
ID
01
DF482
BLUE CROSS OF IDAHO
ID
Enumeration date
08/08/2006
Last updated
10/23/2013
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