| Adult And Geriatric Medical Care, P.c. | |
|
2003 Lincoln Way Kmc Med Staff Office Coeur D Alene ID 83814-2611 | |
| (208) 651-1092 | |
| (877) 234-0633 |
| Full Name | Adult And Geriatric Medical Care, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2003 Lincoln Way, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Susan Melchiore (PHYSICIAN OWNER) |
| Authorized Official Contact | 2086511092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adult And Geriatric Medical Care, P.c. Po Box 238 Hayden ID 83835-0238 Ph: (208) 651-1092 | Adult And Geriatric Medical Care, P.c. 2003 Lincoln Way Kmc Med Staff Office Coeur D Alene ID 83814-2611 Ph: (208) 651-1092 |
| NPI Number | 1619038346 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619038346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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