Basic Information
| Provider Information | |||||||||
| NPI: | 1245974435 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HART | ||||||||
| FirstName: | IRIS | ||||||||
| MiddleName: | ASHLEY | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5420 S IVORY ST | ||||||||
| Address2: | |||||||||
| City: | SPOKANE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 992236333 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5094358483 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1919 LINCOLN WAY STE 315 | ||||||||
| Address2: | |||||||||
| City: | COEUR D ALENE | ||||||||
| State: | ID | ||||||||
| PostalCode: | 838142527 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2086256000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/24/2022 | ||||||||
| LastUpdateDate: | 04/24/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 04/24/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.