Individual
DR. AMANDA ROSE LIGGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
700 W IRONWOOD DR STE 378, COEUR D ALENE, ID 83814-4401
(208) 625-3555
(208) 765-1494
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-3555
(208) 765-1494
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
M-15106
ID
207RP1001X
Pulmonary Disease Physician
Primary
M-15106
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063856151
TRICARE/CHAMPUS
VA
Enumeration date
04/19/2013
Last updated
07/24/2025
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