Individual
PHILIP A KLADAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 W IRONWOOD DR STE 350, COEUR D ALENE, ID 83814-4487
(208) 625-5222
(208) 625-5223
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-4000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
M8695
ID
2086S0129X
Vascular Surgery Physician
Primary
M8695
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020053777
RR MEDICARE
ID
05
—
1116839
—
WA
01
—
51383
BC ID
ID
05
—
806435600
—
ID
Enumeration date
06/28/2006
Last updated
07/23/2025
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