Shana D Fogarty, M.D.

NPI #1104879899 in Coeur D Alene, Idaho

Provider Information

NPI Number
1104879899
Entity Type
Individual
Name
Shana D Fogarty, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine
Credential
M.D.
Enumeration Date
May 17, 2006
Last Updated
Dec 22, 2021

Practice Location

Address
2003 KOOTENAI HEALTH WAY
State
Idaho
ZIP Code
83814-6051
Phone
(208) 625-5085

Specialties & Taxonomy Codes

Specialty
Family Medicine
Family Medicine - Hospice and Palliative MedicineHospice and Palliative Medicine
Hospitalist

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