Search › Idaho › 363AM0700X
Brian Taft, PAC
NPI 1184142606 · on the registry since 2017
Practice
- Address
- 1130 W Prairie Ave
Coeur D Alene, ID 83815 - Phone
- (208) 209-0288
- Fax
- (208) 209-0289
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 363AM0700X
- Licence states on file
- WA, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-10-24
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