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

MR. EVAN JACOBB DOLE, PA

Active

MR. EVAN JACOBB DOLE, PA is a Physician Assistant healthcare provider located in COEUR D ALENE, Idaho. NPI 1780259945 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · COEUR D ALENE, ID

Registration Details

NPI Number
1780259945
Provider Type
Individual
Gender
Male
NPI Issued
May 20, 2021 (5.2230291202559 yrs)
Last Updated
Jul 15, 2024
Licenses
PA61569778 (WA)
PA-2181 (ID)

Practice Information

Address
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID, 838146051
Browse ID providers · Browse ZIP 83814
Phone
2086254000
Fax
2086254432
Primary Specialty
Physician Assistant
363A00000X
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.