SearchIdahoClinic/Center

Peter Leichtnam

NPI 1164072187 · on the registry since 2019 · sole proprietor

Practice

Address
1200 W Ironwood Dr Ste 309
Coeur D Alene, ID 83814
Phone
(509) 994-2105
Organisation at this address
Alliance Family Services
Alliance Family Services
Alliance Family Services North
Sequel Alliance Family Services, Llc
Alliance Family Services North, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Additional practice sites

  • 10905 E Montgomery Dr Ste 4, Spokane Valley, WA
  • 10905 E Montgomery Dr Ste 4, Spokane Valley, WA
  • 1200 W Ironwood Dr Ste 309, Coeur D Alene, ID

Registry record

Primary taxonomy
Clinic/Center
261Q00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-09-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho