Organization
KOOTENAI URGENT CARE, LLC
Active
Other names
Kootenai Occupational Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC KOELSCH (ADMINISTRATOR)
(208) 620-3823
Entity
Organization
Contact information
Practice address
700 W IRONWOOD DR, SUITE 202, COEUR D ALENE, ID 83814-2656
(208) 292-2959
Mailing address
700 W IRONWOOD DR, SUITE 272E, COEUR D ALENE, ID 83814-2656
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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