Organization
MEZA POST ACUTE AND LONG TERM CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL G MEZA MD (OWNER)
(208) 819-2183
Entity
Organization
Contact information
Practice address
2340 W SELTICE WAY, COEUR D ALENE, ID 83814-8989
(208) 819-2183
Mailing address
PO BOX 3687, COEUR D ALENE, ID 83816-2529
(208) 819-2183
(208) 292-4621
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
09/29/2020
Last updated
10/07/2020
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