Individual
MATTHEW DAVID PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-4000
Mailing address
PO BOX 13, COCOLALLA, ID 83813-0013
(208) 597-1139
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
70476
ID
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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