INDIGO IDAHO SERVICES, LLC
Organization (NPI-2)
Active
Family Medicine
Provider Information
- NPI Number
1821799263- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 2836 N RAMSEY RD, COEUR D ALENE, ID, 838159002
- Phone
- (208) 482-3400
Specialties & Taxonomies
Physician Assistant
Nurse Practitioner
Family Medicine
Primary
All Addresses
MAILING
P.O. BOX 5299 MS: 820-5-PCO
TACOMA, WA, 984150299