Organization
ADULT AND GERIATRIC MEDICAL CARE, P.C.
Active
Organization
ADULT AND GERIATRIC MEDICAL CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN MELCHIORE M.D. (PHYSICIAN OWNER)
(208) 651-1092
Entity
Organization
Contact information
Practice address
2003 LINCOLN WAY, KMC MED STAFF OFFICE, COEUR D ALENE, ID 83814-2611
(208) 651-1092
(877) 234-0633
Mailing address
PO BOX 238, HAYDEN, ID 83835-0238
(208) 651-1092
(877) 234-0633
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/13/2006
Last updated
08/22/2020
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