Individual
ROGER CHARLES DUNTEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
850 W IRONWOOD DR, SUITE 202, COEUR D ALENE, ID 83814-4903
(208) 664-2175
(208) 664-1226
Mailing address
850 W IRONWOOD DR, SUITE 202, COEUR D ALENE, ID 83814-4903
(208) 664-2175
(208) 664-1226
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
M8036
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M8036
MEDICAL LICENSE
ID
Enumeration date
08/30/2006
Last updated
09/20/2016
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