Individual
LEONARD D GUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 W IRONWOOD DR, SUITE 170E, COEUR D ALENE, ID 83814-2656
(208) 667-9110
Mailing address
700 W IRONWOOD DR, SUITE 272E, COEUR D ALENE, ID 83814-2656
(208) 676-0102
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M5099
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00105381
RAILROAD MEDICARE
ID
Enumeration date
05/16/2006
Last updated
01/12/2011
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