Organization · Type 2 NPI

Beacon Cancer Care PLLC

Multi-Specialty Clinic/Center · Coeur D Alene, ID

NPI number 1407335367 Active

Practice location

3815 N Schreiber Way Ste 101
Coeur D Alene, ID 83815-8362

Fax (208) 765-0277

Other practice locations

  • 1641 E Polston Ave Ste 102, Post Falls, ID 83854-7852 · (208) 755-2804
  • 229 S 7th St, St. Maries, ID 83861-1803 · (208) 755-2804

Specialties and licenses

TaxonomyCodeLicense
Hematology (Internal Medicine) Physician 207RH0000XNone listed
Hematology & Oncology Physician 207RH0003XNone listed
Rheumatology Physician 207RR0500XNone listed
Medical Oncology Physician 207RX0202XNone listed
Radiation Oncology Physician 2085R0001XNone listed
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed
Oncology Clinic/Center 261QX0200XNone listed
Radiation Oncology Clinic/Center 261QX0203XNone listed
Physician Assistant 363A00000XNone listed
Nurse Practitioner 363L00000XNone listed

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About NPI 1407335367

Beacon Cancer Care PLLC's National Provider Identifier is 1407335367, issued on Aug 11, 2018. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Coeur D Alene, ID. The record was last updated on Aug 25, 2023.