Individual
JOHN DOUGLAS TRUEBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
701 LEWISTON STREET, COTTONWOOD, ID 83522
(208) 962-3267
(208) 962-3722
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 962-3251
(208) 962-2313
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1623
ID
363A00000X
Physician Assistant
PA16906
CA
Other
Enumeration date
03/17/2006
Last updated
08/16/2023
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