Organization
ASSOCIATED INTERNAL MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN MARIE DAUGHARTY FOWLER MD (MD OWNER)
(208) 667-1200
Entity
Organization
Contact information
Practice address
2207 IRONWOOD PL, COEUR D ALENE, ID 83814
(208) 667-1200
(208) 667-3994
Mailing address
2207 IRONWOOD PL, COEUR D ALENE, ID 83814
(208) 667-1200
(208) 667-3994
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M5531
ID
363A00000X
Physician Assistant
Primary
PA573
ID
Other
Enumeration date
03/06/2007
Last updated
09/11/2025
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