Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. PETER JOHN LEICHTNAM
Active Sole ProprietorMR. PETER JOHN LEICHTNAM is a Clinic/Center healthcare provider located in COEUR D ALENE, Idaho. NPI 1164072187 is currently active in the NPPES registry. Verify at CMS.
Clinic/Center · COEUR D ALENE, ID
Registration Details
- NPI Number
- 1164072187
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 12, 2019 (6.9387504187611 yrs)
- Last Updated
- Sep 12, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
1200 W IRONWOOD DR STE 309COEUR D ALENE, ID, 838142660Browse ID providers · Browse ZIP 83814
- Phone
- 5099942105
- Primary Specialty
-
Clinic/Center
261Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.