IndividualActive
Alicia Ogram, M.D.
NPI 1275792525 · Dermatology Physician · Coeur D Alene, ID
Provider details
- NPI number
- 1275792525
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- M-13795 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
980 W Ironwood Dr Ste 1
Coeur D Alene, ID 83814-2617
Phone: (208) 625-4333
Fax: (208) 625-4334
Approximate (ZIP-level) locationGet directions
Mailing address
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Registry dates
- Enumerated
- 2008-06-03
- Last updated
- 2025-07-28
- Certified
- 2025-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.