Organization
CLEARWATER NEUROSURGERY & SPINAL SURGERY ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF J BISHOP (BILLING MANAGER)
(509) 684-3606
Entity
Organization
Contact information
Practice address
324 5TH ST, SUITE 101, LEWISTON, ID 83501
(208) 746-5025
(208) 746-4946
Mailing address
324 5TH ST, SUITE 101, LEWISTON, ID 83501-2408
(208) 746-5025
(208) 746-4946
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
M-4871
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7140247
—
WA
05
—
80783320
—
ID
Enumeration date
10/03/2007
Last updated
06/04/2018
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