CLEARWATER GASTROENTEROLOGY

LEWISTON, ID
NPI1518205715
Entity TypeOrganization
Authorized ContactCARL RAY DETTWILER
M.D.
208-743-4373
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: ID  M5110)
Enumeration Date2013-01-22
Last Update Date2013-01-22
Business Address
CLEARWATER GASTROENTEROLOGY
2517 17TH ST SUITE B
LEWISTON, ID 83501-6311
Phone number: 208-743-4373
Mailing Address
CLEARWATER GASTROENTEROLOGY
2517 17TH ST SUITE B
LEWISTON, ID 83501-6311
Phone number: 208-743-4373
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