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Organization

COIRE WEATHERS, MD, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. COIRE WEATHERS M.D. (OWNER)
(443) 631-2209
Entity
Organization

Contact information

Practice address
413 N ALLUMBAUGH ST, SUITE 101, BOISE, ID 83704-9212
(208) 323-1125
Mailing address
413 N ALLUMBAUGH ST STE 101, BOISE, ID 83704-9219
(208) 954-5594
(208) 954-5598

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
M-11538
ID

Other

Enumeration date
02/09/2012
Last updated
04/21/2021
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