James W Dutkiewicz, PA

NPI #1114992179 in Coeur D Alene, Idaho

Provider Information

NPI Number
1114992179
Entity Type
Individual
Name
James W Dutkiewicz, PA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Feb 22, 2006
Last Updated
Oct 6, 2016

Practice Location

Address
2121 W IRONWOOD CENTER DR
State
Idaho
ZIP Code
83814-2639
Phone
(208) 625-4680

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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