Individual
DR. DARYL K MACCARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
950 W IRONWOOD DR, COEUR D ALENE, ID 83814-2644
(208) 765-5457
(208) 765-6248
Mailing address
950 W IRONWOOD DR, COEUR D ALENE, ID 83814-2644
(208) 765-5457
(208) 765-6248
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
M-7693
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805354700
—
ID
Enumeration date
03/22/2006
Last updated
06/19/2015
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