COEUR D'ALENE SURGICAL AND VEIN is a medical specialty clinic center in Coeur D Alene, ID. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). COEUR D'ALENE SURGICAL AND VEIN NPI is 1225368632. The provider is registered as an organization entity type.
The provider's business location address is:
608 NORTHWEST BLVD
SUITE 301
COEUR D ALENE, ID
ZIP 83814-174
Phone: (208) 664-4940
Fax: (208) 664-5345
The provider's authorized official is Kevin M Johnson .
The authorized official title is Managing Member and has the following contact phone number (208) 664-4940.
The enumeration date for this NPI number is 1/6/2010 and was last updated on 3/20/2013.