North Idaho Endoscopy Center Pllc
NPI #1154328763 in Coeurdalene, Idaho
Provider Information
- NPI Number
- 1154328763
- Entity Type
- Organization
- Organization Name
- North Idaho Endoscopy Center Pllc
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jun 29, 2005
- Last Updated
- Dec 29, 2011
Practice Location
- Address
- 1607 LINCOLN WAY SUITE 100
- City
- Coeurdalene
- State
- Idaho
- ZIP Code
- 83814-2476
- Phone
- (208) 665-9184
Authorized Official
- Name
- DR. GAVIN S YOUNG, M.D.
- Title
- MEDICAL DIRECTOR
- Phone
- (208) 665-9184
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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