Dr Amanda Marie Weindl, DO | |
101 Bodin Cir, Department Of Pediatrics, Travis Afb, CA 94535-1809 | |
(707) 423-7176 | |
Not Available |
Full Name | Dr Amanda Marie Weindl |
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Gender | Female |
Speciality | Pediatrics |
Location | 101 Bodin Cir, Travis Afb, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699091280 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 863 (Nebraska) | Secondary |
208000000X | Pediatrics | O-1021 (Idaho) | Primary |
Entity Name | Multicare Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
Mailing Address | Practice Location Address |
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Dr Amanda Marie Weindl, DO 700 W. Ironwood Drive, Suite 155, Coeur D'alene, ID 83814-4462 Ph: (208) 667-0585 | Dr Amanda Marie Weindl, DO 101 Bodin Cir, Department Of Pediatrics, Travis Afb, CA 94535-1809 Ph: (707) 423-7176 |
Dr. Brian Leonardo Montenegro, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5323 | |
Dr. Chad Ian Tarter, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7176 | |
Haritha Shiva O'hart, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5323 | |
Luisa Sandoval, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 609-556-9811 | |
Dr. Robert Shane Weatherwax, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3906 | |
Dr. Daniel Scott Martineau, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7176 Fax: 707-423-7446 |