Providence Health & Services

NPI #1689977159 in Coeur D Alene, Idaho

Provider Information

NPI Number
1689977159
Entity Type
Organization
Organization Name
Providence Health & Services
Primary Specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Enumeration Date
Dec 6, 2010
Last Updated
Dec 6, 2010

Practice Location

Address
700 W IRONWOOD DR
Address 2
SUITE 350
State
Idaho
ZIP Code
83814-2656
Phone
(208) 676-9913

Authorized Official

Name
KAREN DUNCAN
Title
SR DIRECTORY OF REVENUE CYCLE MNGMT
Phone
(425) 254-5362

Specialties & Taxonomy Codes

Specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery)

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