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Jean Marie Prince, MD

Pediatrics in Coeur D Alene, ID. Individual provider (NPI-1).

NPI number1477552008
StatusActive
Last updated in NPPESJul 12, 2012

Details

NPI
1477552008
Entity type
Individual (NPI-1)
Name
Mrs. Jean Marie Prince
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Jul 15, 2005
Last updated
Jul 12, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X PediatricsM-8499IDYes

Practice location

980 W Ironwood Dr
Ste 302
Coeur D Alene, ID 83814-2604

Phone 208-292-5437 · Fax 208-292-5441

Mailing address

980 W Ironwood Dr
Ste 302
Coeur D Alene, ID 83814-2604

Phone 208-292-5437 · Fax 208-292-5441

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