OrganizationActive
Eagle Crest Life Services Inc
NPI 1356500649 · Psychiatry Physician · Coeur D Alene, ID
Provider details
- NPI number
- 1356500649
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Wheeler, Owner(208) 666-9162
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
212 S 11th St Ste 3
Coeur D Alene, ID 83814-4000
Phone: (208) 666-9162
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3723
Coeur D Alene, ID 83816-2529
Registry dates
- Enumerated
- 2008-06-03
- Last updated
- 2009-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.