Organization
SPOKANE FOOT AND ANKLE SURGERY CENTER
Active
Other names
COEUR D ALENE FOOT AND ANKLE SURGERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN A ISHAM DPM (PODIATRIST)
(208) 666-0605
Entity
Organization
Contact information
Practice address
101 W IRONWOOD DR, STE 131, COEUR D ALENE, ID 83814-1404
(208) 666-0605
(208) 666-0916
Mailing address
101 W IRONWOOD DR, STE 131, COEUR D ALENE, ID 83814-1404
(208) 666-0605
(208) 666-0916
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00329760
—
ID
Enumeration date
09/27/2006
Last updated
12/10/2009
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