Healthcare Provider Details

I. General information

NPI: 1831393461
Provider Name (Legal Business Name): IRWIN H. STEIGER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2007
Last Update Date: 05/10/2021
Certification Date: 05/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2610 E SPYGLASS CT
COEUR D ALENE ID
83815-7946
US

IV. Provider business mailing address

1130 W PRAIRIE AVE
COEUR D ALENE ID
83815-8780
US

V. Phone/Fax

Practice location:
  • Phone: 208-746-1383
  • Fax: 208-298-4520
Mailing address:
  • Phone: 208-209-0288
  • Fax: 208-209-0289

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberC29102
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberM-9060
License Number StateID
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD60001789
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: