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Organization
OWN FAMILY MEDICINE AND WELLNESS LLC DBA ACTIVE FAMILY HEALTHCARE
Active
Organization
OWN FAMILY MEDICINE AND WELLNESS LLC DBA ACTIVE FAMILY HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANNER SOUZA DO (OWNER)
(702) 769-8819
Entity
Organization
Contact information
Practice address
919 W CANFIELD AVE, COEUR D ALENE, ID 83815-9764
(208) 758-0560
(208) 762-5424
Mailing address
919 W CANFIELD AVE, COEUR D ALENE, ID 83815-9764
(208) 758-0560
(208) 762-5424
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/20/2026
Last updated
08/21/2026
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