Richard Andrew Flygare P.A.-C.

NPI 1194819748 - Physician Assistant - 363A00000X

NPI Details
NPI 1194819748
Gender Male
Enumeration Date 10/03/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2288 MERRIT CREEK LOOP
COEUR D'ALENE ID, 83814, US
Phone (208) 665-7546
Fax (208) 667-4607
Business Location
2288 MERRITT CREEK LOOP
COEUR D'ALENE ID, 83814, US
Phone (208) 665-7546
Fax (208) 667-4607
Toxanomy
Taxonomy Code 363A00000X
License State Idaho
License Number PA-295
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According to our database, Richard Andrew Flygare P.A.-C. NPI is 1194819748, taxonomy code is 363A00000X and license number is PA-295, license state is located at Idaho. Richard Andrew Flygare P.A.-C. physically located at 2288 Merrit Creek Loop, Coeur D'alene ID, 83814. NPI Number Richard Andrew Flygare P.A.-C. has the Individual type.

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1194819748 NPI number is provided on an as is basis without warranty of any kind. 1194819748 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Andrew Flygare P.A.-C. are for informational purposes only.