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Clearwater Vein Care Center Pc
Specialist in Lewiston, Idaho
NPI 1174693196

Clearwater Vein Care Center Pc is a Specialist based in Lewiston, ID. Clearwater Vein Care Center Pc practices in Lewiston, ID. The NPI Number for Clearwater Vein Care Center Pc is 1174693196 and holds a License No. MD00045914 (Idaho).

The current practice location address for Clearwater Vein Care Center Pc is 3316 1/2 4Th St, Lewiston, ID and can be reached out via phone at 208-798-7600 and via fax at 208-798-7602.

Location: 3316 1/2 4Th St, Lewiston, ID, 83501-4460
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174693196
Provider Name
Clearwater Vein Care Center Pc
Credential
Provider Entity Type
Organization
Address
3316 1/2 4Th St, Lewiston, ID, 83501-4460
Phone Number
208-798-7600
Fax Number
208-798-7602
Provider Enumeration Date
11/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001204900 05 ID
institution
Provider Business Practice Location Address Details
Address
3316 1/2 4Th St
City
Lewiston
State
Idaho
Zip
83501-4460
Phone Number
208-798-7600
Fax Number
208-798-7602
person
Provider Business Mailing Address Details
Address
3316 1/2 4Th St
City
Lewiston
State
Idaho
Zip
83501-4460
Phone Number
208-798-7600
Fax Number
208-798-7602
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD00045914 (Idaho)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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