| Theran Adamson, Md Pllc | |
|
914 W Ironwood Dr Ste 102 Coeur D Alene ID 83814-4927 | |
| (208) 765-5922 | |
| Not Available |
| Full Name | Theran Adamson, Md Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 914 W Ironwood Dr, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Theran Adamson (OWNER) |
| Authorized Official Contact | 2087655922 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theran Adamson, Md Pllc 914 W Ironwood Dr Ste 102 Coeur D Alene ID 83814-4927 Ph: (208) 765-5922 | Theran Adamson, Md Pllc 914 W Ironwood Dr Ste 102 Coeur D Alene ID 83814-4927 Ph: (208) 765-5922 |
| NPI Number | 1295272490 |
|---|---|
| Provider Enumeration Date | 01/25/2017 |
| Last Update Date | 01/25/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295272490 | NPI | - | NPPES |
| M-12662 | Other | ID | ID LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M-12662 (Idaho) | Primary |
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