Organization
NORTH IDAHO INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RILEY MAE DIEHL DO (OWNER)
(760) 382-4281
Entity
Organization
Contact information
Practice address
1589 PERKINS LAKE RD, MOYIE SPRINGS, ID 83845-5103
(760) 382-4281
Mailing address
PO BOX 652, MOYIE SPRINGS, ID 83845-0652
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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