institution
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. You can also correspond with Clearwater Vein Care Center Pc through the mailing address at 3316 1/2 4TH ST, LEWISTON, ID - 83501-4460 (mailing address contact number: 208-798-7600).

Location: 3316 1/2 4Th St, Lewiston, ID, 83501-4460
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
State
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
State
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
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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