PETER JOHN LEICHTNAM

COEUR D ALENE, ID
NPI1164072187
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2019-09-12
Last Update Date2019-09-12
Business Address
Mr. PETER JOHN LEICHTNAM
1200 W IRONWOOD DR STE 309
COEUR D ALENE, ID 83814-2660
Phone number: 509-994-2105
Mailing Address
Mr. PETER JOHN LEICHTNAM
1200 W IRONWOOD DR STE 309
COEUR D ALENE, ID 83814-2660
Phone number: 509-994-2105
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