Individual
SAMUEL PADDACK BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 765-8585
(208) 765-8486
Mailing address
212 W IRONWOOD DR STE D, COEUR D ALENE, ID 83814-1403
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704365599
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4961871
ID
Other
Enumeration date
06/09/2023
Last updated
03/16/2026
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