Search › Idaho › 172V00000X
Mary Koczyk, CBRS
NPI 1710599022 · on the registry since 2020
Practice
- Address
- 2201 N Ironwood Pl
Coeur D Alene, ID 83814 - Phone
- (208) 769-4222
- Fax
- (844) 803-7399
- Organisation at this address
- Premier Medical Associates Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Also registered as
- 171M00000X
- Sex
- Female
- Record last updated
- 2020-10-05
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