Individual
DR. JOEL EDWARD CLEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MHA
Contact information
Practice address
607 W MAIN ST, GRANGEVILLE, ID 83530-1345
(208) 983-8590
(208) 983-8580
Mailing address
607 W MAIN ST, GRANGEVILLE, ID 83530-1345
(208) 983-8590
(208) 983-8580
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
7367
MT
207X00000X
Orthopaedic Surgery Physician
81-31
NM
207X00000X
Orthopaedic Surgery Physician
Primary
M7138
ID
207X00000X
Orthopaedic Surgery Physician
MD00024662
WA
Other
Enumeration date
08/15/2006
Last updated
02/11/2014
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