Organization
NORTH IDAHO UROLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE A CHATFIELD (BILLING SUPERVISOR)
(208) 667-0621
Entity
Organization
Contact information
Practice address
980 W IRONWOOD DR, STE. 104, COEUR D ALENE, ID 83814-2668
(208) 667-0621
(208) 664-1709
Mailing address
980 W IRONWOOD DR, STE 104, COEUR D ALENE, ID 83814-2668
(208) 667-0621
(208) 664-1709
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
M-3632
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002507200
—
ID
05
—
002667200
—
ID
05
—
805898101
—
ID
Enumeration date
02/06/2007
Last updated
11/26/2025
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