Individual
CHUCK LEE NEWHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6641 KANIKSU ST, BONNERS FERRY, ID 83805-7532
(208) 267-3655
Mailing address
PO BOX 1640, BONNERS FERRY, ID 83805-1640
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M7989
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M7989
STATE LICENSE NUMBER
ID
Enumeration date
07/09/2006
Last updated
03/07/2023
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