MEDICARE: MR. DOUGLAS SEAN LINFORD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	51391207205	UT
2	207Q00000X	Family Medicine Physician	M-9877	ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0225241	OTHER	ID	LABOR & INDUSTRY
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821180134
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DOUGLAS SEAN LINFORD MD

Provider Business Mailing Address
First Line	:	566 W PRAIRIE AVE
Second Line	:
City	:	COEUR D ALENE
State	:	ID
Zip	:	83815-7766
Country	:	US
Telephone Number	:	208-772-8263
Fax Number	:	208-772-0603

Provider Business Practice Location Address
First Line	:	566 W PRAIRIE AVE
Second Line	:
City	:	COEUR D ALENE
State	:	ID
Zip	:	83815-7766
Country	:	US
Telephone Number	:	208-772-8263
Fax Number	:	208-772-0603

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	07/24/2025

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