Nationwide Neuro Health | |
211 E Logan St Suite 105 Caldwell ID 83605-4882 | |
(208) 454-0567 | |
(208) 454-0965 |
Full Name | Nationwide Neuro Health |
---|---|
Speciality | Psychiatry & Neurology - Neurology |
Location | 211 E Logan St, Caldwell, Idaho |
Authorized Official Name and Position | Wade S Harris (OWNER) |
Authorized Official Contact | 2084540567 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Nationwide Neuro Health 211 E Logan St Suite 105 Caldwell ID 83605-4882 Ph: (208) 454-0567 | Nationwide Neuro Health 211 E Logan St Suite 105 Caldwell ID 83605-4882 Ph: (208) 454-0567 |
NPI Number | 1821303504 |
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Provider Enumeration Date | 08/18/2010 |
Last Update Date | 08/18/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821303504 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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