Individual
ASHLEY DAWN MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
700 W IRONWOOD DR STE 130, COEUR D ALENE, ID 83814-4404
(208) 625-4700
(208) 625-4701
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-4700
(208) 625-4701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-2048
ID
363A00000X
Physician Assistant
PA01422
OR
Other
Enumeration date
12/26/2007
Last updated
05/01/2024
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