Individual
GEOFFREY THOMAS EMRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
920 W IRONWOOD DR STE 101, COEUR D ALENE, ID 83814-2464
(208) 667-4557
(208) 765-2887
Mailing address
920 W IRONWOOD DR STE 101, COEUR D ALENE, ID 83814-2464
(208) 667-4557
(208) 765-2887
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M8556
ID
207Q00000X
Family Medicine Physician
MD00041052
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806393700
—
ID
Enumeration date
09/20/2005
Last updated
04/14/2025
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