Individual
JAMES W DUTKIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2121 W IRONWOOD CENTER DR, COEUR D ALENE, ID 83814-2639
(208) 625-4680
(208) 625-4681
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA129
ID
Other
Enumeration date
02/22/2006
Last updated
10/06/2016
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