237700000X
Lewiston, ID
Specialty
237700000X
NPI
1548072077
2840 Juniper Dr, Lewiston, ID 83501
(208) 746-5100Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 237700000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 237700000X