Individual
JOHN W CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2315 8TH ST, LEWISTON, ID 83501-7301
(208) 746-1383
(208) 298-4521
Mailing address
2315 8TH ST, LEWISTON, ID 83501-7301
(208) 746-1383
(208) 298-4521
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD00012692
WA
207N00000X
Dermatology Physician
Primary
MD8169
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145739
WA LABOR & INDUSTRIES
WA
05
—
8147845
—
WA
Enumeration date
10/23/2006
Last updated
07/09/2007
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