Organization · Type 2 NPI

North Idaho Endoscopy and Surgical Specialists, PLLC

Surgery Physician · Coeur D Alene, ID

NPI number 1104658152 Active

Practice location

3318 N Grandmill Ln
Coeur D Alene, ID 83814-5689

Fax (208) 772-6514

Mailing address

784 S Clearwater Loop # 4128
Post Falls, ID 83854-9599

Specialties and licenses

TaxonomyCodeLicense
Obesity Medicine (Internal Medicine) Physician 207RB0002XNone listed
Gastroenterology Physician 207RG0100XNone listed
Surgery Physician Primary 208600000XNone listed
Trauma Surgery Physician 2086S0127XNone listed

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1104658152

North Idaho Endoscopy and Surgical Specialists, PLLC's National Provider Identifier is 1104658152, issued on Aug 19, 2024. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Coeur D Alene, ID. The record was last updated on Oct 7, 2025.