NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1700389061
ORTHOPEDIC SURGERY AND SPORTS
850 W IRONWOOD DR STE 202
COEUR D ALENE
ID
838144903
1265741730
CLEGG
SHAWNA
LEA
1590 E POLSTON AVE
POST FALLS
ID
838545218
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