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Individual

CHARLES B FOOE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-4000
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-4000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M8778
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
806621800
ID
01
HBMN3
BLUE CROSS
ID
Enumeration date
08/23/2005
Last updated
01/28/2016
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