MR. PETER LEICHTNAM

Clinic/Center

Active Individual
NPI: 1164072187

Practice Address

1200 W IRONWOOD DR STE 309
Coeur D Alene, ID 83814

Phone: (509) 994-2105

Specialties

Specialty Code Primary License
Clinic/Center 261Q00000X Yes -

Frequently Asked Questions

NPI 1164072187 is the National Provider Identifier for MR. PETER LEICHTNAM, a Clinic/Center provider located in Coeur D Alene, ID. This NPI was enumerated on September 12, 2019.
MR. PETER LEICHTNAM practices at 1200 W IRONWOOD DR STE 309, Coeur D Alene, ID 83814.

Quick Facts

NPI
1164072187
Type
Individual
Enumerated
Sep 12, 2019
Last Updated
Sep 12, 2019

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