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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