David B Souvenir M.D.

NPI 1023026457 - Internal Medicine - 207R00000X

NPI Details
NPI 1023026457
Gender Male
Enumeration Date 08/03/2006
Last Updated 01/13/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
1875 N LAKEWOOD DR
STE 101
COEUR D ALENE ID, 83814-4928, US
Phone (208) 765-9092
Fax (208) 765-9093
Business Location
PO BOX 3087
HAYDEN ID, 83835-3087, US
Phone (208) 765-9092
Fax (208) 765-9093
Toxanomy
Taxonomy Code 207R00000X
License State Idaho
License Number M9267
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According to our database, David B Souvenir M.D. NPI is 1023026457, taxonomy code is 207R00000X and license number is M9267, license state is located at Idaho. David B Souvenir M.D. physically located at 1875 N Lakewood Dr, Coeur D Alene ID, 83814-4928. NPI Number David B Souvenir M.D. has the Individual type.

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1023026457 NPI number is provided on an as is basis without warranty of any kind. 1023026457 is maintained by the National Plan & Provider Enumeration System. The contents of David B Souvenir M.D. are for informational purposes only.