Organization
WILLIAM R. BOZARTH, M.D., P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM RICHTER BOZARTH M.D. (OWNER)
(208) 746-3320
Entity
Organization
Contact information
Practice address
338 6TH ST, SUITE 102, LEWISTON, ID 83501-2419
(208) 746-3320
(208) 746-8717
Mailing address
338 6TH ST, SUITE 102, LEWISTON, ID 83501-2419
(208) 746-3320
(208) 746-8717
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
M3626
ID
Other
Enumeration date
06/14/2010
Last updated
06/14/2010
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