Julia Mangan, Fnp, Family Practice Clinic P.c
NPI #1699787168 in Coeur D Alene, Idaho
Provider Information
- NPI Number
- 1699787168
- Entity Type
- Organization
- Organization Name
- Julia Mangan, Fnp, Family Practice Clinic P.c
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 13, 2006
- Last Updated
- May 28, 2013
Practice Location
- Address
- 1112 W IRONWOOD DR
- City
- Coeur D Alene
- State
- Idaho
- ZIP Code
- 83814-2474
- Phone
- (208) 664-8818
Authorized Official
- Name
- MRS. JULIA B MANGAN, FNP
- Title
- OWNER
- Phone
- (208) 664-8818
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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