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Philip Meadow, D.O. F.A.C.R

NPI 1902911878 · on the registry since 2006 · sole proprietor

Practice

Address
700 W Ironwood Dr Ste 275w
Coeur D Alene, ID 83814
Phone
(208) 625-4780
Fax
(208) 625-4781
Organisation at this address
Element Dental Pllc
Ideal Family Dental
Kootenai Health, Inc.
Kootenai Health, Inc.
Interlake Pharmacy Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
191

Registry record

Primary taxonomy
207RR0500X
207RR0500X
Also registered as
207RR0500X
Licence states on file
GA, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-02-15

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