| Coire Weathers, Md, Pllc | |
|
413 N Allumbaugh St Suite 101 Boise ID 83704-9212 | |
| (208) 323-1125 | |
| Not Available |
| Full Name | Coire Weathers, Md, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 413 N Allumbaugh St, Boise, Idaho |
| Authorized Official Name and Position | Coire Weathers (OWNER) |
| Authorized Official Contact | 4436312209 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coire Weathers, Md, Pllc 413 N Allumbaugh St Ste 101 Boise ID 83704-9219 Ph: (208) 954-5594 | Coire Weathers, Md, Pllc 413 N Allumbaugh St Suite 101 Boise ID 83704-9212 Ph: (208) 323-1125 |
| NPI Number | 1710250543 |
|---|---|
| Provider Enumeration Date | 02/09/2012 |
| Last Update Date | 04/21/2021 |
| Certification Date | 04/21/2021 |
| Medicare PECOS PAC ID | 3375790983 |
|---|---|
| Medicare Enrollment ID | O20120904000103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710250543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | M-11538 (Idaho) | Primary |
| Provider Name | Coire C Weathers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437319662 PECOS PAC ID: 4385891993 Enrollment ID: I20120904000092 |
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