Organization
NORTH IDAHO GASTROENTEROLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY A. TOELLE M.D. (ADMINISTRATOR)
(208) 667-5483
Entity
Organization
Contact information
Practice address
1607 LINCOLN WAY, SUITE 200, COEUR D'ALENE, ID 83814-2476
(208) 667-5483
(208) 667-7062
Mailing address
1607 LINCOLN WAY, SUITE 200, COEUR D'ALENE, ID 83814-2476
(208) 667-5483
(208) 667-7062
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
07/11/2012
Last updated
07/13/2012
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