Affiliated Neurologists Pllc

NPI #1316090426 in Lewiston, Idaho

Provider Information

NPI Number
1316090426
Entity Type
Organization
Organization Name
Affiliated Neurologists Pllc
Primary Specialty
Psychiatry & Neurology - Neurology
Enumeration Date
Jan 19, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
338 6TH ST
Address 2
SUITE 102
State
Idaho
ZIP Code
83501-2419
Phone
(208) 746-3320

Authorized Official

Name
MARK RANDALL KEANE, M.D.
Title
MEMBER
Phone
(208) 746-3320

Specialties & Taxonomy Codes

Specialty
Psychiatry & Neurology - NeurologyNeurology

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