Organization
COEUR D ALENE PRIMARY CARE PLLC
Active
Other names
COEUR D ALENE PRIMARY CARE PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON RICE (OWNER)
(208) 667-2600
Entity
Organization
Contact information
Practice address
920 W IRONWOOD DR STE 200, COEUR D ALENE, ID 83814-2643
(208) 667-2600
(208) 625-2051
Mailing address
920 W IRONWOOD DR STE 200, COEUR D ALENE, ID 83814-2643
(208) 667-2600
(208) 625-2051
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
PA-431
ID
Other
Enumeration date
08/20/2013
Last updated
12/29/2022
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