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Primary Practice Address
1130 W PRAIRIE AVE
COEUR D ALENE, ID 83815-8780 US
Accepts Medicare Payment

PECOS Enrolled

Peter Gordon Gourley

Nurse Practitioner (Psych/Mental Health)


Peter Gordon Gourley

Overview

Peter Gordon Gourley is a Nurse Practitioner (Psych/Mental Health) in the COEUR D ALENE area and has over 31 years of experience. Peter Gordon Gourley primary office location is at 1130 W PRAIRIE AVE and new patients are welcome to contact this healthcare provider for an appointment. We do not know where he was educated but we know that he graduated in 1994 The NPI number is 1114961240 and the information was updated approximately 9 years ago.

Peter Gordon Gourley is affiliated with one medical group in the COEUR D ALENE area, PRAIRIE FAMILY MEDICINE PLLC.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Yes

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
1130 W PRAIRIE AVE
COEUR D ALENE, ID 83815-8780 US
Phone: (208)-209-0288
Fax:
Practice Mailing Information
2481 HALLEBERRY
HAYDEN, ID 83815-8780 US
Phone: (509)-989-7764
Fax: (509)-764-5072
License NumberState
AP30005913WA

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