Organization
RESTORATION WOUNDCARE MEDICAL GROUP, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANA HULL (CHIEF ADMINISTRATIVE OFFICER)
(208) 930-1000
Entity
Organization
Contact information
Practice address
2139 N MAIN ST, COEUR D ALENE, ID 83814-5768
(208) 930-1000
(877) 376-4040
Mailing address
2139 N MAIN ST, COEUR D ALENE, ID 83814-5768
(208) 930-1000
(877) 376-4040
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/25/2024
Last updated
03/03/2025
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