Ironwood Family Practice, PA
NPI #1083650931 in Coeur D Alene, Idaho
Provider Information
- NPI Number
- 1083650931
- Entity Type
- Organization
- Organization Name
- Ironwood Family Practice, PA
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jun 21, 2006
- Last Updated
- Jan 10, 2025
Practice Location
- Address
- 3815 N SCHREIBER WAY UNIT 102
- City
- Coeur D Alene
- State
- Idaho
- ZIP Code
- 83815-8434
- Phone
- (208) 667-4557
Authorized Official
- Name
- NINA RUTH EVERSON
- Title
- EXECUTIVE DIRECTOR
- Phone
- (208) 667-4557
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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