North Idaho Gastroenterology Pllc

NPI #1578828935 in Coeur D'alene, Idaho

Provider Information

NPI Number
1578828935
Entity Type
Organization
Organization Name
North Idaho Gastroenterology Pllc
Primary Specialty
Internal Medicine - Gastroenterology
Enumeration Date
Jul 11, 2012
Last Updated
Jul 13, 2012

Practice Location

Address
1607 LINCOLN WAY
Address 2
SUITE 200
State
Idaho
ZIP Code
83814-2476
Phone
(208) 667-5483

Authorized Official

Name
DR. STANLEY A. TOELLE, M.D.
Title
ADMINISTRATOR
Phone
(208) 667-5483

Specialties & Taxonomy Codes

Specialty
Internal Medicine - GastroenterologyGastroenterology

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