Organization
SANDPOINT SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN C KANNING M.D. (OWNER)
(208) 263-1421
Entity
Organization
Contact information
Practice address
502 N SECOND AVE, SUITE 3, SANDPOINT, ID 83864-1558
(208) 263-1421
(208) 263-4430
Mailing address
502 N SECOND AVE, SUITE 3, SANDPOINT, ID 83864-1558
(208) 263-1421
(208) 263-4430
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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