237600000X
Lewiston, ID
Specialty
237600000X
Credential
AU.D.
NPI
1518346816
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 237600000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 237600000X