Healthcare Provider Details

I. General information

NPI: 1710910757
Provider Name (Legal Business Name): SANDPOINT WOMEN'S HEALTH, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 N 2ND AVE STE 200
SANDPOINT ID
83864-1552
US

IV. Provider business mailing address

420 N 2ND AVE STE 200
SANDPOINT ID
83864-1552
US

V. Phone/Fax

Practice location:
  • Phone: 208-263-2173
  • Fax: 208-263-7441
Mailing address:
  • Phone: 208-263-2173
  • Fax: 208-263-7441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number StateID

VIII. Authorized Official

Name: DR. BRUCE W HONSINGER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 208-263-2173