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NPI 1194706465

IndividualActive

Edward Detar, MD

NPI 1194706465 · Surgery Physician · Coeur D Alene, ID

Provider details

NPI number: 1194706465
Entity type: Individual
Primary specialty: Surgery PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
Sole proprietor: Yes
License: M-9855 (ID)

Practice location

700 W Ironwood Dr Ste 341

Coeur D Alene, ID 83814-4404

Phone: (208) 625-5200

Fax: (208) 625-5201

More ID providers

Mailing address

700 W Ironwood Dr

Coeur D Alene, ID 83814-2656

Registry dates

Enumerated: 2005-11-14
Last updated: 2025-04-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Edward Detar, MD — NPI 1194706465, Coeur D Alene, ID | NPI Central