Organization
INTERNAL MEDICINE ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH CHITTICK (OFFICE MANAGER)
(208) 263-6876
Entity
Organization
Contact information
Practice address
102 S EUCLID AVE STE 202, SANDPOINT, ID 83864-4912
(208) 263-6876
(208) 263-2033
Mailing address
PO BOX 550, SANDPOINT, ID 83864-0550
(208) 263-6876
(208) 263-2033
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010006479
BS GROUP NUMBER
ID
05
—
0351312
—
MT
05
—
7081557
—
WA
05
—
805074900
—
ID
01
—
87841
BC GROUP NUMBER
ID
Enumeration date
06/08/2006
Last updated
06/06/2016
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