Clearwater Vein Care Center PC

NPI #1174693196 in Lewiston, Idaho

Provider Information

NPI Number: 1174693196
Entity Type: Organization
Organization Name: Clearwater Vein Care Center PC
Primary Specialty: Specialist
Enumeration Date: Nov 8, 2006
Last Updated: Dec 16, 2008

Practice Location

Address: 3316 1/2 4TH ST
Address 2: SUITE 4B
City: Lewiston
State: Idaho
ZIP Code: 83501-4460
Phone: (208) 798-7600

Authorized Official

Name: ALAN G MUENCH, MD
Title: PRESIDENT
Phone: (208) 798-7600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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