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Clearwater Gastroenterology
Specialist in Lewiston, Idaho
NPI 1518205715

Clearwater Gastroenterology is a Specialist based in Lewiston, ID. Clearwater Gastroenterology practices in Lewiston, ID. The NPI Number for Clearwater Gastroenterology is 1518205715 and holds a License No. M5110 (Idaho).

The current practice location address for Clearwater Gastroenterology is 2517 17Th St, Lewiston, ID and can be reached out via phone at 208-743-4373.

Location: 2517 17Th St, Lewiston, ID, 83501-6311
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518205715
Provider Name
Clearwater Gastroenterology
Credential
Provider Entity Type
Organization
Address
2517 17Th St, Lewiston, ID, 83501-6311
Phone Number
208-743-4373
Fax Number
Provider Enumeration Date
01/22/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2517 17Th St
City
Lewiston
State
Idaho
Zip
83501-6311
Phone Number
208-743-4373
Fax Number
person
Provider Business Mailing Address Details
Address
2517 17Th St
City
Lewiston
State
Idaho
Zip
83501-6311
Phone Number
208-743-4373
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
M5110 (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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