On Site For Seniors, Inc

NPI 1265621908 - Internal Medicine - 207RG0300X

NPI Details
NPI 1265621908
Enumeration Date 10/18/2007
Last Updated 11/26/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SUSAN SUSAN
Position MANAGING PHYSICIAN
Phone (208) 664-3301
Fax (877) 653-2694
Practice Location
1052 W MILL AVE
COEUR D ALENE ID, 83814-2444, US
Phone (208) 664-3301
Fax (877) 653-2694
Business Location
1052 W MILL AVE
COEUR D ALENE ID, 83814-2444, US
Phone (208) 664-3301
Fax (877) 653-2694
Toxanomy
Taxonomy Code 207RG0300X
License State
License Number
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According to our database, On Site For Seniors, Inc NPI is 1265621908, taxonomy code is 207RG0300X On Site For Seniors, Inc physically located at 1052 W Mill Ave, Coeur D Alene ID, 83814-2444. NPI Number 1033115704 has the healthcare provider type.

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1265621908 NPI number is provided on an as is basis without warranty of any kind. 1265621908 is maintained by the National Plan & Provider Enumeration System. The contents of On Site For Seniors, Inc are for informational purposes only.