Indigo Idaho Services, LLC
NPI #1821799263 in Coeur D Alene, Idaho
Provider Information
- NPI Number
- 1821799263
- Entity Type
- Organization
- Organization Name
- Indigo Idaho Services, LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 13, 2023
- Last Updated
- Mar 21, 2023
Practice Location
- Address
- 2836 N RAMSEY RD
- City
- Coeur D Alene
- State
- Idaho
- ZIP Code
- 83815-9002
- Phone
- (208) 482-3400
Authorized Official
- Name
- WILLIAM ROBERTSON
- Title
- PRESIDENT
- Phone
- (253) 403-1272
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Nurse Practitioner |
| Family Medicine |
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