Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Peter John Leichtnam

Individual provider Clinic/Center · NPI 1164072187

Mr. Peter John Leichtnam is a Clinic/Center in Coeur D Alene, Idaho. Practices as a sole proprietor and works from 4 locations. Licensed in Idaho.

Licensed in
ID
In the registry since
2019
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Practice location Address checks out

1200 W Ironwood Dr Ste 309
Coeur D Alene, ID 83814-2660
Phone: (509) 994-2105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1200 W Ironwood Dr Ste 309, Coeur D Alene, ID 83814-2660 — (509) 994-2105
  • 10905 E Montgomery Dr Ste 4, Spokane Valley, WA 99206-6606 — (509) 994-2105
  • 10905 E Montgomery Dr Ste 4, Spokane Valley, WA 99206-6606 — (509) 994-2105

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X (ID)

Record details

NPI number1164072187
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 12, 2019
Last updated in NPPESSeptember 12, 2019

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