Individual
MR. EVAN JACOBB DOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-4000
(208) 625-4432
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-4000
(208) 625-4432
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-2181
ID
363A00000X
Physician Assistant
PA61569778
WA
Other
Enumeration date
05/20/2021
Last updated
07/15/2024
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