Organization
NORTH IDAHO NEUROSURGERY AND SPINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY DEAN MCDONALD M.D., PH.D. (OWNER)
(208) 777-7555
Entity
Organization
Contact information
Practice address
1641 E. POLSTON AVE., POST FALLS, ID 83854
(208) 777-7555
(208) 777-3337
Mailing address
1641 E. POLSTON AVE, POST FALLS, ID 83854
(208) 777-7555
(208) 777-3337
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
M-7768
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805400800
—
ID
05
—
806107400
—
ID
Enumeration date
10/16/2006
Last updated
04/09/2015
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