Organization · Type 2 NPI

Coeur Obstetrics and Gynecology, PLLC

Specialist · Coeur D Alene, ID

NPI number 1730280744 Active

Practice location

980 W Ironwood Dr Ste 201
Coeur D Alene, ID 83814-2668

Call (208) 765-4888 Map

Mailing address

980 W Ironwood Dr., Suite 201
Coeur D' Alene, ID 83814

Other practice locations

980 W Ironwood Dr., Suite 304, Coeur D' Alene, ID 83814 · (208) 765-4888

Specialties and licenses

Taxonomy	Code	License
Specialist Primary	174400000X	M-9485 (ID)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

6 other providers at this address

Other specialist providers in Coeur D Alene

See all in Coeur D Alene →

NPI record

NPI: 1730280744
Entity type: Organization (Type 2)
Issued: Sep 25, 2006
Last updated: May 14, 2020
Status: Active

Other names

<unavail>
D. Anthony & R. Randel Henneberg, Ptr's · former legal business name
D. Anthony & R. Randel Henneberg, Ptr's · former legal business name

Authorized official

Dr. Andrew Anthony Henneberg, MD
Owner/md
(208) 765-4888

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1730280744

Coeur Obstetrics and Gynecology, PLLC's National Provider Identifier is 1730280744, issued on Sep 25, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Coeur D Alene, ID. The record was last updated on May 14, 2020.