Organization
NORTH IDAHO ENDOSCOPY AND SURGICAL SPECIALISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORY RICHARDSON MD (PRESIDENT/OWNER)
(775) 240-1338
Entity
Organization
Contact information
Practice address
3318 N GRANDMILL LN, COEUR D ALENE, ID 83814-5689
(208) 292-0445
(208) 772-6514
Mailing address
784 S CLEARWATER LOOP # 4128, POST FALLS, ID 83854-9599
(775) 240-1338
Taxonomy
Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
208600000X
Surgery Physician
Primary
—
—
2086S0127X
Trauma Surgery Physician
—
—
Other
Enumeration date
08/19/2024
Last updated
10/07/2025
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