Organization
RATHDRUM CLINIC, INC.
Active
Other names
Restored Horizons
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WHITING MD (OWNER)
(208) 819-7103
Entity
Organization
Contact information
Practice address
913 W CANFIELD AVE, COEUR D ALENE, ID 83815-9764
(208) 819-7103
(208) 719-0050
Mailing address
913 W CANFIELD AVE, COEUR D ALENE, ID 83815-9764
(208) 819-7103
(208) 719-0050
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
M8126
ID
Other
Enumeration date
04/19/2013
Last updated
08/10/2023
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