Organization
COEUR VITALITY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY BURNS MD (OWNER)
(208) 966-4512
Entity
Organization
Contact information
Practice address
110 E WALLACE AVE, COEUR D ALENE, ID 83814-2948
(208) 651-9791
Mailing address
110 E WALLACE AVE, COEUR D ALENE, ID 83814-2948
(208) 651-9791
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/25/2020
Last updated
08/17/2020
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