Integrative Medicine of Lewiston

NPI #1316226814 in Lewiston, Idaho

Provider Information

NPI Number
1316226814
Entity Type
Organization
Organization Name
Integrative Medicine of Lewiston
Primary Specialty
Nurse Practitioner
Enumeration Date
Aug 15, 2011
Last Updated
Aug 15, 2011

Practice Location

Address
3510 12TH ST STE 200
State
Idaho
ZIP Code
83501-5575
Phone
(208) 799-3333

Authorized Official

Name
KURT A BAILEY
Title
OWNER
Phone
(208) 799-3333

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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