Organization
LLOYD E. WITHAM MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LLOYD E WITHAM MD (PHYSICIAN)
(208) 667-7459
Entity
Organization
Contact information
Practice address
1107 W IRONWOOD DR, COEUR D ALENE, ID 83814-2604
(208) 667-7459
(208) 667-2631
Mailing address
1107 W IRONWOOD DR, COEUR D ALENE, ID 83814-2604
(208) 667-7459
(208) 667-2631
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
M5216
ID
332B00000X
Durable Medical Equipment & Medical Supplies
M5216
ID
Other
Enumeration date
09/29/2006
Last updated
03/27/2008
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