John Richard Katovich Jr., MD
Emergency Medicine in St Maries, ID. Individual provider (NPI-1).
NPI number1952469082
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1952469082
- Entity type
- Individual (NPI-1)
- Name
- John Richard Katovich Jr.
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 4, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | M4923 | ID | Yes |
Practice location
229 S 7th StreetSt Maries, ID 83861
Phone 208-245-5551 · Fax 208-245-9303
Mailing address
Po Box 385St Maries, ID 83861
Phone 208-689-3577
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