| Leonard D. Guth Md Pc | |
|
5424 N Martha Loop Coeur D Alene ID 83815-9143 | |
| (208) 661-7037 | |
| Not Available |
| Full Name | Leonard D. Guth Md Pc |
|---|---|
| Speciality | General Practice |
| Location | 5424 N Martha Loop, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Leonard D Guth (OWNER) |
| Authorized Official Contact | 2086617037 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leonard D. Guth Md Pc 5424 N Martha Loop Coeur D Alene ID 83815-9143 Ph: () - | Leonard D. Guth Md Pc 5424 N Martha Loop Coeur D Alene ID 83815-9143 Ph: (208) 661-7037 |
| NPI Number | 1578767844 |
|---|---|
| Provider Enumeration Date | 06/12/2007 |
| Last Update Date | 11/01/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578767844 | NPI | - | NPPES |
| DB4464 | Other | ID | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | M5099 (Idaho) | Primary |
Active Family Healthcare Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 919 W Canfield Ave, Coeur D Alene, ID 83815 Phone: 208-758-0560 Fax: 208-762-5424 | |
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