Healthcare Provider Details

I. General information

NPI: 1164507166
Provider Name (Legal Business Name): JOHN A STURGES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: JOHN A STURGES M.D.

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2170 W IRONWOOD CENTER DR STE A
COEUR D ALENE ID
83814-2606
US

IV. Provider business mailing address

2170 W IRONWOOD CENTER DR STE A
COEUR D ALENE ID
83814-2606
US

V. Phone/Fax

Practice location:
  • Phone: 208-665-5596
  • Fax: 208-665-9842
Mailing address:
  • Phone: 208-665-5596
  • Fax: 208-665-9842

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberM6585
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: