Dr. SALVATORE DI RAFFAELE PA-C, D.C.
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1154472256- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C, D.C.
- Status
- Active
Contact & Location
- Address
- 1090 W PARK PL, COEUR D ALENE, ID, 838142785
- Phone
- (208) 415-0299
Specialties & Taxonomies
Physician Assistant
License: CA #14822
Physician Assistant, Medical
License: ID #2005
Physician Assistant
Primary License: ID #2005