Doctor Name: | HEATHER SARKIS |
NPI Number: | 1023118122 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | PA302 |
Business Practice Address: | 315 W Dalton Ave Coeur D Alene, ID - 838158600 |
Business Phone Number: | 2082092066 |
Business Fax Number: | 2082092076 |
Mailing Address: | 315 W Dalton Ave, COEUR D ALENE |
State: | ID |
Postal Code: | 838158600 |
Phone Number: | 2082092066 |
Fax Number: | 2082092076 |
NPI Enumeration Date: | 09/25/2006 |
NPI Last Update Date: | 05/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA302 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |