Individual
DR. JASON MATTHEW ADLEBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 W IRONWOOD DR STE 175, COEUR D ALENE, ID 83814-4401
(208) 625-6300
(208) 625-6301
Mailing address
700 W IRONWOOD DR STE 175, COEUR D ALENE, ID 83814-4401
(208) 625-6300
(208) 625-6301
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
329045
NY
2085R0202X
Diagnostic Radiology Physician
Primary
5671280
ID
Other
Enumeration date
04/08/2020
Last updated
03/31/2026
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