Organization
STUART DENNY
Active
Other names
TWIN GABLES FAMILY HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STUART DENNY M.D. (OWNER)
(208) 765-5304
Entity
Organization
Contact information
Practice address
914 W IRONWOOD DR STE 202, COEUR D ALENE, ID 83814-4927
(208) 765-5304
(208) 664-8670
Mailing address
914 W IRONWOOD DR STE 202, COEUR D ALENE, ID 83814-4927
(208) 765-5304
(208) 664-8670
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010006394
REGENCE BLUE SHIELD
—
05
—
002560500
—
ID
01
—
88609
BLUE CROSS OF IDAHO
ID
Enumeration date
11/07/2007
Last updated
06/18/2008
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