Individual
ROBERT MONROE POUTRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
606 N THIRD AVE STE 201, SANDPOINT, ID 83864-1689
(082) 638-5972
Mailing address
PO BOX 1343, SANDPOINT, ID 83864-0863
(082) 638-5972
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
13178
MN
363A00000X
Physician Assistant
Primary
PA-2045
ID
Other
Enumeration date
09/23/2019
Last updated
11/19/2024
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