Organization
PREMIER SPINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEFAN NOEL YAKEL DO (OWNER)
(208) 770-3536
Entity
Organization
Contact information
Practice address
850 W IRONWOOD DR, COEUR D ALENE, ID 83814-4903
(208) 770-3536
Mailing address
850 W IRONWOOD DR STE 301, COEUR D ALENE, ID 83814-4903
(208) 770-3536
(208) 770-3546
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487480224
—
ID
Enumeration date
09/09/2024
Last updated
05/28/2026
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