Organization
AMERICAN MOBILE DRUG TESTING / A DRUG FREE ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER LEICHTNAM (PRESIDENT)
(509) 994-2105
Entity
Organization
Contact information
Practice address
1200 W IRONWOOD DR STE 309, COEUR D ALENE, ID 83814-2660
(208) 665-0067
(208) 665-0068
Mailing address
1200 W IRONWOOD DR STE 309, COEUR D ALENE, ID 83814-2660
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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