Organization
KOOTENAI AUDIOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT C FARR MD (OWNER)
(208) 765-1345
Entity
Organization
Contact information
Practice address
700 W IRONWOOD DR, SUITE 236, COEUR D ALENE, ID 83814-2656
(208) 765-1345
(208) 667-9622
Mailing address
700 W IRONWOOD DR, SUITE 236, COEUR D ALENE, ID 83814-2656
(208) 765-1345
(208) 667-9622
Taxonomy
Speciality
Code
Description
License number
State
231HA2500X
Assistive Technology Supplier Audiologist
Primary
—
—
Other
Enumeration date
09/18/2010
Last updated
09/18/2010
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