Organization
BONE DENSITY OF NORTH IDAHO LLC
Active
Parent organization
NORTH IDAHO FAMILY PHYSICIANS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH IDAHO FAMILY PHYSICIANS LLC
Authorized official
ERIC KOELSCH (EXECUTIVE DIRECTOR)
(208) 676-0145
Entity
Organization
Contact information
Practice address
1401 LINCOLN WAY, COEUR D ALENE, ID 83814-2334
(208) 664-5904
(208) 292-0797
Mailing address
700 W IRONWOOD DR, SUITE 272E, COEUR D ALENE, ID 83814-2656
(208) 676-0102
(208) 676-0147
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
O-45
ID
Other
Enumeration date
07/24/2009
Last updated
07/24/2009
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