Individual
THOMAS D ESKELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
980 W IRONWOOD DR STE 104, COEUR D ALENE, ID 83814-2668
(208) 667-0621
(208) 664-1709
Mailing address
980 W IRONWOOD DR STE 104, COEUR D ALENE, ID 83814-2668
(208) 667-0621
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA60692737
WA
363AS0400X
Surgical Physician Assistant
Primary
PA-2226
ID
Other
Enumeration date
04/19/2016
Last updated
04/13/2023
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