Individual
ZANE H KLOECKL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1090 W PARK PL, COEUR D ALENE, ID 83814-2785
(208) 415-0299
(208) 625-2070
Mailing address
PO BOX 1387, HAYDEN, ID 83835-1387
(208) 215-2005
(844) 807-3782
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
02/14/2022
Last updated
01/30/2023
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