Graduated: 2018
NPI: 1700363348
Practice Locations (2)
COEUR D ALENE PRIMARY CARE PLLC
920 W IRONWOOD DR, SUITE 200
COEUR D ALENE, ID 838142643
2086672600
COEUR D ALENE PRIMARY CARE PLLC
100 MCKINLEY AVE
KELLOGG, ID 838372502
2086672600
Source: CMS National Downloadable File, September 2026.