CLEARWATER VEIN CARE CENTER PC NPI 1174693196

NPI Information

CLEARWATER VEIN CARE CENTER PC is a specialist in Lewiston, ID. The provider is 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. CLEARWATER VEIN CARE CENTER PC NPI is 1174693196. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3316 1/2 4TH ST
SUITE 4B
LEWISTON, ID
ZIP 83501-460
Phone: (208) 798-7600
Fax: (208) 798-7602

The provider's authorized official is Alan G Muench .
The authorized official title is President and has the following contact phone number (208) 798-7600.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 12/16/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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