Jeffery Stuart Givens MD

NPI 1003890732 - Family Medicine - 207Q00000X

NPI Details
NPI 1003890732
Gender Male
Enumeration Date 12/06/2005
Last Updated 06/11/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
700 W IRONWOOD DR
SUITE 170E
COEUR D ALENE ID, 83814-2656, US
Phone (208) 667-9110
Fax
Business Location
700 W IRONWOOD DR
SUITE 170E
COEUR D ALENE ID, 83814-2656, US
Phone (208) 667-9110
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Idaho
License Number M-10515
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According to our database, Dr. Jeffery Stuart Givens MD NPI is 1003890732, taxonomy code is 207Q00000X and license number is M-10515, license state is located at Idaho. Jeffery Stuart Givens MD physically located at 700 W Ironwood Dr, Coeur D Alene ID, 83814-2656. NPI Number Jeffery Stuart Givens MD has the Individual type.

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1003890732 NPI number is provided on an as is basis without warranty of any kind. 1003890732 is maintained by the National Plan & Provider Enumeration System. The contents of Jeffery Stuart Givens MD are for informational purposes only.