Kootenai Surgery Associates PLLC
Organization Active NPI Surgery Physician · Coeur D Alene, ID
NPI 1205086089 · NPPES record last updated Sep 30, 2008
Key facts
- NPI
- 1205086089
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- Legal business name
- KOOTENAI SURGERY ASSOCIATES PLLC
- Practice address
- 700 W Ironwood Dr
Suite 304
Coeur D Alene, ID 83814-2656 - Phone
- (208) 667-1588
- Fax
- (208) 667-3788
- NPI assigned
- Sep 29, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Timothy T Quinn, MD
- Title
- Partner
- Phone
- (208) 667-1588
Practitioners 5
-
Robert G Holman, MD
-
Philip A Kladar, MD
-
Thomas Thilo, MD
-
Marcus Jewell Torgenson, M.D.
National Provider Directory
Locations
700 W Ironwood Dr
Ste 304
Coeur D Alene, ID 83814
Phone (208) 667-1588
700 W Ironwood Dr
Ste 350
Coeur D Alene, ID 83814
Phone (208) 625-5222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | ID | Yes |
Addresses
Primary practice location
700 W Ironwood Dr
Suite 304
Coeur D Alene, ID 83814-2656
Mailing address
700 W Ironwood Dr
Suite 304
Coeur D Alene, ID 83814-2656
Phone (208) 667-1588
Other providers in Coeur D Alene, ID
- Kootenai Health, Inc.
- Kootenai Health, Inc.
- Kootenai Health, Inc.
- Kootenai Health, Inc.
- Kootenai Health, Inc.
- Kootenai Urgent Care LLC
- Kootenai Urgent Care LLC
- Kootenai Urgent Care, LLC
- Kootenai Vision, PLLC
- Sydney Koppang
All providers in Coeur D Alene, ID · Surgery Physician in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.