Individual
MRS. JEAN MARIE PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
980 W IRONWOOD DR, STE 302, COEUR D ALENE, ID 83814-2604
(208) 292-5437
(208) 292-5441
Mailing address
980 W IRONWOOD DR, STE 302, COEUR D ALENE, ID 83814-2604
(208) 292-5437
(208) 292-5441
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M-8499
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806329700
—
ID
Enumeration date
07/15/2005
Last updated
07/12/2012
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