Organization
KUTTERUF AND ROBINSON MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN M NELSON (BUSINESS OFFICE ADMINISTRATOR)
(208) 667-5483
Entity
Organization
Contact information
Practice address
1607 LINCOLN WAY, SUITE 200, COEUR D ALENE, ID 83814-2462
(203) 667-5483
(208) 667-7062
Mailing address
1607 LINCOLN WAY, SUITE 200, COEUR D ALENE, ID 83814-2462
(203) 667-5483
(208) 667-7062
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
M3977
ID
207RG0100X
Gastroenterology Physician
M3978
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002499400
—
ID
05
—
002499500
—
ID
Enumeration date
01/17/2007
Last updated
08/27/2008
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