| Perpetual Family Medicine Pllc | |
|
1717 Lincoln Way Ste 108 Coeur D Alene ID 83814-2556 | |
| (949) 874-4107 | |
| Not Available |
| Full Name | Perpetual Family Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1717 Lincoln Way Ste 108, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Mark Christopher Martindale (OWNER/PROVIDER) |
| Authorized Official Contact | 2084809574 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Perpetual Family Medicine Pllc 1717 Lincoln Way Ste 108 Coeur D Alene ID 83814-2556 Ph: (208) 480-9574 | Perpetual Family Medicine Pllc 1717 Lincoln Way Ste 108 Coeur D Alene ID 83814-2556 Ph: (949) 874-4107 |
| NPI Number | 1194533992 |
|---|---|
| Provider Enumeration Date | 12/26/2024 |
| Last Update Date | 02/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194533992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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