Organization
WESTERN PACEMAKER CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER LOUIS SEALE M.D. (CEO)
(208) 947-5390
Entity
Organization
Contact information
Practice address
13960 W WAINWRIGHT DR, BOISE, ID 83713-1969
(208) 947-5390
(208) 947-3465
Mailing address
13960 W WAINWRIGHT DR, BOISE, ID 83713-1969
(208) 947-5390
(208) 947-3465
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
M-5874
ID
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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