Organization
NORTH IDAHO FAMILY PHYSICIANS
Active
Other names
Bone Density of North Idaho
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC KOELSCH (EXECUTIVE DIRECTOR)
(208) 676-0145
Entity
Organization
Contact information
Practice address
1401 LINCOLN WAY, COEUR D ALENE, ID 83814-2334
(208) 664-5904
(208) 292-0797
Mailing address
700 W IRONWOOD DR, SUITE 272E, COEUR D ALENE, ID 83814-2656
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG9013
RAILROAD MEDICARE
—
Enumeration date
11/20/2006
Last updated
03/18/2009
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