Individual
LEAH WEATHERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
920 W IRONWOOD DR STE 101, COEUR D ALENE, ID 83814-2464
(208) 667-4557
Mailing address
920 W IRONWOOD DR STE 101, COEUR D ALENE, ID 83814-2464
(208) 667-4557
(208) 765-2886
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-14487
ID
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/11/2017
Last updated
07/25/2025
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