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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SALVATORE DI RAFFAELE, PA-C, D.C.

Active Sole Proprietor

DR. SALVATORE DI RAFFAELE, PA-C, D.C. is a Physician Assistant healthcare provider located in COEUR D ALENE, Idaho. NPI 1154472256 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · COEUR D ALENE, ID

Registration Details

NPI Number
1154472256
Provider Type
Individual
Gender
Male
NPI Issued
Jan 15, 2007 (19.575156046602 yrs)
Last Updated
Jul 10, 2023
Licenses
14822 (CA)
2005 (ID)
2005 (ID)
Sole Proprietor
Yes

Practice Information

Address
1090 W PARK PL
COEUR D ALENE, ID, 838142785
Browse ID providers · Browse ZIP 83814
Phone
2084150299
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Medical Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in COEUR D ALENE, ID

Name Credential NPI
LAURIE GALLEGOS PA-C 1215926258
MAGEN S SCHMIDT PAC 1497738827
JAMES W DUTKIEWICZ PA 1114992179
MS. KATIE DAWN JARSTAD PA-C 1326099672
MR. SCOTT WILLIAM GIBBS PA-C 1912959321
JOANNE M HUESTIS PA-C 1902850449
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.