Search › Idaho › 207Q00000X
Tanner Souza, DO
NPI 1447837166 · on the registry since 2021
Practice
- Address
- 919 W Canfield Ave
Coeur D Alene, ID 83815 - Phone
- (208) 758-0560
- Organisation at this address
- Active Family Healthcare Pllc
Own Family Medicine And Wellness Llc Dba Active Family HealthcareInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Additional practice sites
- 6655 S Cimarron Rd Ste 100, Las Vegas, NV
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-09-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho