Organization
LEONARD D. GUTH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD D GUTH M.D. (OWNER)
(208) 661-7037
Entity
Organization
Contact information
Practice address
5424 N MARTHA LOOP, COEUR D ALENE, ID 83815-9143
(208) 661-7037
Mailing address
5424 N MARTHA LOOP, COEUR D ALENE, ID 83815-9143
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
M5099
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB4464
RAILROAD MEDICARE
ID
Enumeration date
06/12/2007
Last updated
11/01/2007
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