Organization
PALOUSE-CLEARWATER NEUROLOGY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA DALE MORGAN M.D. (OWNER)
(208) 882-1777
Entity
Organization
Contact information
Practice address
619 S WASHINGTON ST, SUITE 201, MOSCOW, ID 83843-3090
(208) 882-1777
(208) 882-7006
Mailing address
619 S WASHINGTON ST, SUITE 201, MOSCOW, ID 83843-3090
(208) 882-1777
(208) 882-7006
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
M6219
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8146342
—
WA
05
—
M0027067
—
ID
Enumeration date
07/16/2010
Last updated
07/16/2010
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