Individual
DR. LIGEIA A REINHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6615 COMANCHE ST, BONNERS FERRY, ID 83805-7523
(208) 267-1718
(208) 267-7739
Mailing address
116 NOBLE LN, BONNERS FERRY, ID 83805-5104
(208) 267-3707
(208) 267-3707
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M8667
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806590100
—
ID
Enumeration date
10/31/2005
Last updated
02/04/2022
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