Organization
MEZA POST ACUTE AND LONG TERM CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MEZA MD (OWNER)
(208) 819-2183
Entity
Organization
Contact information
Practice address
3400 E FERNAN HILL RD, COEUR D ALENE, ID 83814-7588
(208) 819-2183
Mailing address
PO BOX 3687, COEUR D ALENE, ID 83816-2529
(208) 819-2183
(208) 209-6063
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
06/22/2020
Last updated
12/08/2020
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