Search › Idaho › 207P00000X
Anthony Derrico, D.O
NPI 1538516471 · on the registry since 2016
Practice
- Address
- 2003 Kootenai Health Way
Coeur D Alene, ID 83814 - Phone
- (208) 625-5700
- Fax
- (208) 625-5708
- Organisation at this address
- Kootenai Health, Inc.
Kootenai Health, Inc.
Kootenai Health, Inc.
Kootenai Health, Inc.
Kootenai Health, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 235
Additional practice sites
- 190 E Bannock St, Boise, ID
- 366 Gunfighter Ave Ste 498, Mountain Home Afb, ID
- 855 N Westhaven Dr, Oshkosh, WI
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Also registered as
- 207PE0004X
207PE0004X - Licence states on file
- ID, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-04-24
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