SearchIdahoPhysician Assistant

James Dutkiewicz, PA

NPI 1114992179 · on the registry since 2006 · sole proprietor

Practice

Address
2121 W Ironwood Center Dr
Coeur D Alene, ID 83814
Phone
(208) 625-4680
Fax
(208) 625-4681
Organisation at this address
Peter C Jones Md Pa
Coeur D'Alene Surgery Center Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-10-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho