Individual
ALAN D. MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1090 W PARK PL, COEUR D ALENE, ID 83814-2785
(208) 664-5174
(208) 664-5174
Mailing address
PO BOX 34584, SEATTLE, WA 98124-1584
(509) 241-7349
(509) 241-7628
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-8552
ID
207Q00000X
Family Medicine Physician
MD00024771
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8064524
—
ID
05
—
8388613
—
WA
Enumeration date
12/27/2006
Last updated
05/19/2008
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