Individual
DR. CREIGHTON LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 WEST FORT ST. #111R, BOISE VAMC, BOISE, ID 83702
(208) 220-6546
Mailing address
500 WEST FORT ST. #111R, BOISE VAMC, BOISE, ID 83702
(208) 220-6546
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
11682730-1205
UT
Other
Enumeration date
04/27/2015
Last updated
06/09/2020
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