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Organization

NATIONWIDE NEURO HEALTH

Active
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Organization

NATIONWIDE NEURO HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WADE S HARRIS MD (OWNER)
(208) 454-0567
Entity
Organization

Contact information

Practice address
211 E LOGAN ST, SUITE 105, CALDWELL, ID 83605-4882
(208) 454-0567
(208) 454-0965
Mailing address
211 E LOGAN ST, SUITE 105, CALDWELL, ID 83605-4882
(208) 454-0567
(208) 454-0965

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Enumeration date
08/18/2010
Last updated
08/18/2010
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