Individual
DR. JOHN W. HO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
415 6TH ST, LEWISTON, ID 83501-2431
(208) 750-7445
Mailing address
415 6TH ST, LEWISTON, ID 83501-2431
(208) 750-7445
(208) 750-7395
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
M-11550
ID
2085R0204X
Vascular & Interventional Radiology Physician
MD00042236
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023096955
—
ID
01
—
175410
L&I PROVIDER NUMBER
WA
01
—
178136
L&I PROVIDER NUMBER
WA
05
—
8372898
—
WA
Enumeration date
12/30/2005
Last updated
12/27/2024
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