| Palouse-clearwater Neurology, P.a. | |
|
619 S Washington St Suite 201 Moscow ID 83843-3090 | |
| (208) 882-1777 | |
| (208) 882-7006 |
| Full Name | Palouse-clearwater Neurology, P.a. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 619 S Washington St, Moscow, Idaho |
| Authorized Official Name and Position | Barbara Dale Morgan (OWNER) |
| Authorized Official Contact | 2088821777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palouse-clearwater Neurology, P.a. 619 S Washington St Suite 201 Moscow ID 83843-3090 Ph: (208) 882-1777 | Palouse-clearwater Neurology, P.a. 619 S Washington St Suite 201 Moscow ID 83843-3090 Ph: (208) 882-1777 |
| NPI Number | 1932412103 |
|---|---|
| Provider Enumeration Date | 07/16/2010 |
| Last Update Date | 07/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932412103 | NPI | - | NPPES |
| M0027067 | Medicaid | ID | |
| 8146342 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | M6219 (Idaho) | Primary |
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