Individual
COLLEEN PATRICIA DEVINE SHOLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1055 RIVERSIDE AVE, OROFINO, ID 83544
(208) 476-5777
(208) 476-5385
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 962-3267
(208) 962-2313
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
O-0780
ID
Other
Enumeration date
01/11/2010
Last updated
08/06/2021
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