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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