Organization · Type 2 NPI

Clearwater Vein Care Center PC

Specialist · Lewiston, ID

NPI number 1174693196 Active

Practice location

3316 1/2 4th St, Suite 4B
Lewiston, ID 83501-4460

Call (208) 798-7600 Map

Fax (208) 798-7602

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMD00045914 (ID)

Specialist: 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.

5 other providers at this address

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About NPI 1174693196

Clearwater Vein Care Center PC's National Provider Identifier is 1174693196, issued on Nov 8, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lewiston, ID. The record was last updated on Dec 16, 2008.