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MR. PETER JOHN LEICHTNAM
NPI 1164072187
Clinic/Center in Coeur D Alene, ID

Active since September 12, 2019
1200 W IRONWOOD DR STE 309, COEUR D ALENE, ID 83814(509) 994-2105 Get Directions Write a Review

NPPES record last updated: September 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Peter John Leichtnam NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. PETER JOHN LEICHTNAM (NPI 1164072187) is an individual clinic/center provider in Coeur D Alene, Idaho and active in the NPI registry since September 2019. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1164072187
Entity TypeIndividualMale
Primary Taxonomy261Q00000X
Provider Legal NameMR. PETER JOHN LEICHTNAM
Location Address1200 W IRONWOOD DR STE 309Coeur D Alene, ID 83814-2660
Mailing Address1200 W Ironwood Dr Ste 309Coeur D Alene, ID 83814-2660 · (509) 994-2105
Phone(509) 994-2105
Sole ProprietorYes
Enumeration DateSeptember 12, 2019
✔ NPI 1164072187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1200 W IRONWOOD DR STE 309, Coeur D Alene, ID 83814
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Secondary Practice Locations 2

Location 110905 E Montgomery Dr Ste 4Spokane Valley, WA 99206-6606 · Phone (509) 994-2105 · Fax (509) 892-6924
Location 21200 W Ironwood Dr Ste 309Coeur D Alene, ID 83814-2660 · Phone (509) 994-2105

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMERICAN MOBILE DRUG TESTING / A DRUG FREE ALLIANCE
Clinic/Center
1200 W IRONWOOD DR STE 309
COEUR D ALENE, ID 83814
Kootenai County (208) 665-0067

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Leichtnam's NPI number?

The NPI number for Peter Leichtnam is 1164072187. It was assigned to this individual provider in the NPPES registry on September 12, 2019.

Where is Peter Leichtnam located?

Peter Leichtnam practices at 1200 W Ironwood Dr Ste 309, Coeur D Alene, ID 83814. The listed phone number is (509) 994-2105.

What is Peter Leichtnam's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Peter Leichtnam was last updated on September 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.