Provider Demographics
NPI:1952974784
Name:ESPINOZA, ELOY (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:ELOY
Middle Name:
Last Name:ESPINOZA
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:DR
Other - First Name:E
Other - Middle Name:E
Other - Last Name:E
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:700 W IRONWOOD DR STE 258
Mailing Address - Street 2:
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83814-4400
Mailing Address - Country:US
Mailing Address - Phone:208-625-6877
Mailing Address - Fax:
Practice Address - Street 1:700 W IRONWOOD DR STE 258
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814-4400
Practice Address - Country:US
Practice Address - Phone:208-625-6877
Practice Address - Fax:208-625-6878
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-20
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT223162207Q00000X
ID7071562207QS1201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS1201XAllopathic & Osteopathic PhysiciansFamily MedicineSleep Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine