IndividualActive
Casey Fatz, MD
NPI 1306847488 · Diagnostic Radiology Physician · Coeur D Alene, ID
Provider details
- NPI number
- 1306847488
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- M-9034 (ID)
Practice location
700 W Ironwood Dr Ste 175
Coeur D Alene, ID 83814-4401
Phone: (208) 625-6309
Fax: (208) 625-6310
Mailing address
700 W Ironwood Dr Ste 175
Coeur D Alene, ID 83814-4401
Registry dates
- Enumerated
- 2005-08-10
- Last updated
- 2026-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.