Individual
DESIREE BARCLIFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1090 W PARK PL, COEUR D ALENE, ID 83814-2785
(208) 292-0705
Mailing address
820S MCCLELLAN ST 426, SPOKANE, WA 99204-2446
(509) 456-8444
(509) 455-9227
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1107891
NCCPA BOARD CERTIFICATION NUMBER
—
Enumeration date
02/05/2013
Last updated
12/29/2015
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