Healthcare Provider Details

I. General information

NPI: 1306163134
Provider Name (Legal Business Name): DONALD FRANKLIN ENGLES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: DONNY ENGLES M.D.

II. Dates (important events)

Enumeration Date: 05/04/2010
Last Update Date: 04/18/2024
Certification Date: 04/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 W IRONWOOD DR STE 320
COEUR D ALENE ID
83814-2656
US

IV. Provider business mailing address

2003 KOOTENAI HEALTH WAY
COEUR D ALENE ID
83814-6051
US

V. Phone/Fax

Practice location:
  • Phone: 208-625-5250
  • Fax: 208-625-5251
Mailing address:
  • Phone: 208-625-5085
  • Fax: 208-625-5731

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberM13690
License Number StateID
# 2
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberM13690
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: