Healthcare Provider Details

I. General information

NPI: 1134117187
Provider Name (Legal Business Name): RONALD WILLARD ENGLAND II MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2005
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

714 W APPLEWAY AVE STE 200
COEUR D ALENE ID
83814-9330
US

IV. Provider business mailing address

714 W APPLEWAY AVE STE 200
COEUR D ALENE ID
83814-9330
US

V. Phone/Fax

Practice location:
  • Phone: 208-665-1552
  • Fax:
Mailing address:
  • Phone: 208-665-1552
  • Fax: 208-665-1558

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberMD60109942
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: