is a Spinal Cord Injury Medicine in Coeur D Alene, Idaho. practices all healthcare services and medical treatments related to Spinal Cord Injury Medicine. The NPI Number for is 1023129244. The last update date is .
's current location address is 1130 W Prairie Ave, Coeur D Alene, Idaho. You can contact this provider via phone number 2088187055. The mailing address for is 1130 W Prairie Ave, Coeur D Alene, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1130 W Prairie Ave, Coeur D Alene, Idaho |
| Phone Number | 2088187055 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1023129244 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1130 W Prairie Ave |
|---|---|
| City | Coeur D Alene |
| State | Idaho (ID) |
| Post Code | 838158780 |
| Phone Number | 2088187055 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Spinal Cord Injury Medicine |
|---|---|
| Taxonomy | 2081P0004X |
| Licence No | O-0351 |
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Definition: A physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages |
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