Search › Idaho › 175T00000X
Courtney Pellow
NPI 1801372529 · on the registry since 2018
Practice
- Address
- 2201 Ironwood Pl
Coeur D Alene, ID 83814 - Phone
- (208) 771-3707
- Clinicians at this address
- 15
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Also registered as
- 225400000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-07-16
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