Provider Demographics
NPI:1245694561
Name:MCALPINE, MEREDITH LIEBL (MD)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:LIEBL
Last Name:MCALPINE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2003 KOOTENAI HEALTH WAY
Mailing Address - Street 2:
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83814-6051
Mailing Address - Country:US
Mailing Address - Phone:208-625-3640
Mailing Address - Fax:208-625-3645
Practice Address - Street 1:700 W IRONWOOD DR STE 120
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814-4405
Practice Address - Country:US
Practice Address - Phone:208-625-3640
Practice Address - Fax:208-625-3645
Is Sole Proprietor?:No
Enumeration Date:2016-04-12
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
IDM-14105207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program