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Individual

DR. AMANDA MARIE WEINDL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
101 BODIN CIR, DEPARTMENT OF PEDIATRICS, TRAVIS AFB, CA 94535-1809
(707) 423-7176
Mailing address
700 W. IRONWOOD DRIVE, SUITE 155, COEUR D'ALENE, ID 83814-4462
(208) 667-0585
(208) 667-0876

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
863
NE
208000000X
Pediatrics Physician
Primary
O-1021
ID

Other

Enumeration date
04/08/2010
Last updated
07/10/2017
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